Interventions data collection form

Please use Internet Explorer to complete this form

Thank you for taking the time to complete this form. The information provided will be made publicly available via an online database on the South West Public Health Observatory’s new Healthy Weight for Children Hub website.

The aim of the website is to provide:

• an evidence base for those working to prevent and treat childhood obesity in the South West;
• a networking opportunity for professionals and others working in the field;
• an information point for parents.

For more details, see the Healthy Weight for Children Hub Flyer

Please indicate here whether you are happy for us to include your contact details on the site:

I am happy for the contact details provided on this form to be published on the Healthy Weight for Children Hub website: Yes No

We may contact you if we have any queries about the information you have provided.

If you have any problems completing this form, please contact healthyweight4children@swpho.nhs.uk or Helen Bolton on Tel: 0117 970 6474, ext. 302.

NB: Please be aware when completing this form the following denotes mandatory fields:

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