Expression of Interest Form

First name

Last name

Email

How would you describe your connection to ADHD? Tick all that apply

I have a diagnosis of ADHD

I am a parent/carer of someone with ADHD

I am a family member of someone with ADHD

I work with or support people with ADHD

I have a different connection

Why are you interested in joining the SYNC-ADHD PPI group?

Have you been involved in research or PPIE (Patient and Public Involvement and Engagement) before?

Yes

No

Do you have any support needs or adjustments we should be aware of to help you take part?

Do you have access to a device you could use for Zoom meetings (e.g. computer, tablet, or smartphone)?

Yes

No