JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Need Registration Page
This form is to register a need / demand / requirement that needs a solution.
We will only accept suggestions with a valid email address, this will not be shared.
Once submitted the idea will go to a panel to prioritise the need against potential impact.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please state your background
*
I am a member of the NHS
I am a Care Worker
I am a carer for a relative at home
Other:
Please state, as clearly as possible, the problem that needs addressing. Please make sure you state 1) the target population, 2) the problem in as much detail as possible, and 3) the impact a solution would have.
*
Your answer
Acknowledgements
This is an international initiative supported by the Engineering Institutions of the UK. We are grateful to the following companies supporting this project
Institution of Engineering Designers
Keele University
We will not share your email address, but we may need to contact you for further information.
We may need to contact you for further information, do you agree?
*
Yes
No
Other:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of University of Keele.
Report Abuse
Forms
