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Blah blah blah welcome..following feedback we have decided to use Question Pro to collect VAS submissions.

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Thank you
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* Name
   
 
 
* Job title
   
 
 
* Contact telephone number
   
 
 
* Email address
   
 
 
 
* Please select the health body who's figures you are wishing to submit from the following drop down list?
 
 
 
* Which sector does your health body fit under?
 
Acute
 
Ambulance
 
Mental health
 
PCT
 
Special Health Authority
 
Strategic Health Authority
 
 
 
* Where applicable, which "arm" are the figures you are submitting from?
 
Provider arm only
 
Commissioner arm only
 
Both Provider and Commissioner arms
 
Not applicable
 
 
 
If your health body has been subject to any restructures (e.g. amalgamation, provider/commissioner split etc) since January 2011 please provide details in the box below
   
 
 
 
Total number of physical assaults on NHS staff recorded by the health body, that occured between 1st April 2011 and 31st March 2012
   
 
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