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Dates need to be in the format 'DD/MM/YYYY', for example 27/03/1980.


6.6. Are you registered with a GP Practice in the UK? Required
7.7. Are you currently taking any medication? Required
8.8. Are you currently under the care of, or waiting forĀ an appointment with, a hospital specialist? Required
9.9. Have you previously taken part in a clinical trial involving a vaccine? Required
10.10. Have you travelled outside the UK in the last 6 months, and/or do you have any plans to travel in the next 12 months? Required
11.11. How did you hear about us? Required

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