Yes please, we would like to take part in the
Health Related Behaviour Questionnaire in March 2020
School:	
Name of key contact: 
Email address for key contact: 
EITHER
We would like to participate using the online surveys (please tick here)	
OR

We would find online surveys difficult and would like to opt for paper versions instead. 

We understand that this will have a cost implication for the school. 
Primary schools - £4 per pupil (school pays additional amount in excess of £200)
Junior schools  - £4 per pupil (school pays additional amount in excess of £150)
Infant schools - £2.50 per pupil (school pays additional amount in excess of £90)
We also commit to:
•	administering the surveys within the same agreed 3 week window;
•	returning the surveys to Exeter by courier before the start of the Easter holiday.

If opting for paper versions, it is essential that you respond as soon as possible providing details of precise numbers of pupils in the appropriate year groups for your school so that your surveys can be prepared for you. Thank you.		
Year 2		
Year 4		
Year 6		

Please indicate below which briefing you would like to attend. Briefings are to be held on 25th February 2020.

(Venue: Sans Souci Training Centre, Tanworth Lane, Shirley, B90 4DD)

Briefing	Tick or bullet point	Name of person attending 	
Briefing A:  2.30pm
			
Briefing B:  4.00pm