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University of Warwick

PMWS Breakdown Survey

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Thank you for taking a few moments to fill in this form. Your data will assist in our understanding of the spread of PMWS through the UK.
All data will be stored securely and not passed to any 3rd parties.
Please enter the code requested in your letter or advert:
Code:*
Do you have PMWS?*	yes no
If yes, when did breakdown occur?
Month:
Year:
Postcode (no spaces):*
If you enter your CPH number, this will help us to validate our data.
CPH number (optional):

* indicates a required field


Privacy statement	This form is anonymous. No data which personally identifies you is collected on the form, and the data you provide is used solely to help us improve the delivery of our courses.

www.pmwsinpigs.org

Read first results of PMWS study

View animated map of PMWS breakdown

Your questions answered

Contact us:

pmwsinpigs@warwick.ac.uk

Page contact: Judith Brown Last revised: Fri 29 Sep 2006

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