If you have read the consultation paper, NHS Lanarkshire would like your view on the following question:

* Should NHS Lanarkshire refer patients to the Centre for Integrative Care (Glasgow Homoeopathic Hospital)?

* Are you responding as:

* Are you:

* How old are you?

* To which of these ethnic groups do you say you belong?
Please tick ONE box which best describes your ethnic group.

* At the end of the consultation a report will be prepared which will describe the review process and will include the responses to this consultation. This will help to inform a decision by Lanarkshire NHS Board on the future use of these services.

If you would like to receive a copy of the report when it is published please complete the information below. No personally identifiable information will be published in the report or used for any other purpose by NHS Lanarkshire.

* Would you like to receive the report:

Thank you for your feedback