BCCP (British Congenital Cardiac Physiologists) contact details

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* 1. What is your name?

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* 2. What institution do you work in?

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* 3. What level centre is this?

Level 1

Level 2

Level 3

Other (please specify)

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* 4. In which area(s) do you work?

Paediatrics

Adult Congenital Heart Disease

Fetal Cardiology

Echocardiography

Cardiac Rhythm Management

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* 5. What is your Job title and Banding?

Job Title

Banding

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* 6. Whom from your institute should we contact for if we need help with further information/surveys ?

Name

Email Address

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* 7. Do you know of any other Physiologists/Centres not included in the BCCP group that maybe interested in being involved?

Name

Email Address

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* 8. Are you happy for the information you have given us be shared with the group at large?

Yes

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* 9. Should we have separate Paediatric and ACHD sub-groups?

Yes

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* 10. How often should the BCCP group meet?

Monthly

Twice annually

Quarterly

Other (please specify)

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* 11. What would be the preferred time for meetings?

8am

Lunchtime ~1pm

After 5pm

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* 12. If our group was part of the BCCA - would you consider joining?

Yes

I am already a member