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Date: 21 May 2012

Time: 17:51

Join the COPM Network

Please note that the contents of this form will not be encrypted upon submission. If you would prefer not to use this form to submit your information, please contact Dee Parker: Dee.Parker@uhb.nhs.uk.

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Where are you currently working?

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What is your clinical field?

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Do you use the COPM in your current job?

Have you received training in the use of the COPM?

If you have received training, what method was used?

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If you have not received any training, but need it, how would you like to be trained?

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If you use the COPM what client group do you use it with?

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How long have you been using the COPM?

How would you like to learn about the COPM and the CMOP? Please tick all that apply:

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