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Nurses new to general practice COP - Pre-Session EOI form

THIS FORM IS NO LONGER IN USE PLEASE DO NOT COMPLETE
TO ACCESS THE SSSION PLEASE GO TO THE FOLLOWING LINK:
https://www.ncltraininghub.org/training-and-support/nurse-support/restorative-clinical-supervision-for-gpns

PNA Development & Wellbeing Support - Empowering Growth, Resilience & Confidence

We Value Your Feedback
Thank you for taking the time to help us measure the impact of the Professional Nurse Advocate(PNA) in North Central London. This data will help us to understand the value of our sessions and guide how we can better support your needs.

I consent to participate in this survey, where the North Central London Integrated Care Board and the North Central London Training Hub will hold the information.*

Yes

No - if the answer if No, please do not continue with the completion of the form

How long have you been working in primary care?

0-6 Months

6-12 Months

1-2 Years

2+ Years

First Name*

This will remain confidential and will only be used for evaluation purposes

Last Name*

This will remain confidential and will only be used for evaluation purposes

Email*

This will remain confidential and will only be used for evaluation purposes

Borough*

What is the reason for you seeking support from a PNA?*

Select all that applies

Work-related stress/moral injury

Needed clinical advice

Career development

Support work related problem

Support with personal problem

Support with quality improvement initiative

As part of preceptorship or other training

On a scale of 1-5, how would you rate your overall stress levels related to what you are hoping to discuss with the PNA team ?

1 = Very low stress
5 = Very high stress

On a scale of 1-5 how confident are you in understanding and implementing strategies to manage stress and wellbeing in the workplace?

1 = Not confident
5 = Very Confident

By ticking the consent box below, you consent to being contacted regarding your participation in this group and agree to be marked as a marketing contact. This includes receiving follow-up emails about next steps, meeting invites, session reminders, and group evaluations. You have the option to unsubscribe at any time.