1. Area Codes (Please tick the area in which you are based)
01 Scotland [ ] 02 Republic of Ireland /N. Ireland [ ] 03 N. England [ ]
04 C. England/Midlands [ ] 05 Wales /S.W. England [ ] 06 E. Anglia [ ]
07 London /S.E. England [ ] 8 Overseas [ ]
2. Research Interests
For each of the following please tick box A if the named people and/or your organisation have participated in research in this area and are willing to network to provide support to others, or tick box B if this is an area of interest to you/your organisation but you/your organisation have little or no research experience.
A
B
A
B
Adult Grief
.
.
Children's Grief
.
.
HIV/AIDS & Bereavement
.
.
Suicide
.
.
PTSD
.
.
Loss of Child
.
.
Evaluation
.
.
Qualitative Research
.
.
Instrument Development
.
.
Outcome Measures
.
.
Ethics
.
.
Risk Assessment
.
.
Interventions
.
.
Involvement of Volunteers
.
.
Involvement of Profs
.
.
Other
.
.
Pregnancy Loss
.
.
3. Declaration
I have read the BRF Data protection Statement,(attached) and, on behalf of the organisation, I agree for our details to be kept on the BRF database and for data to be used as described.
