Thank you for your interest in our work with Good Innovation

Your insights will help us build more accessible and more impactful services for everyone affected by bipolar in the future.

We want to set up 1-1 calls either online or via phone and a focus group in the New Year.

We will only be able to contact a small number of people to take part in the calls and focus group. If we don't get in touch at this stage, we will invite you to complete a survey in December so you will still be able to share your valuable insights.

Your first name

Your last name

Your email

Your age

Which ethnicity best describes you?

Your area

Have you previously used any of Bipolar UK's services?

YesNo

Yes I am available for a 1-1 call online or via phone

Yes I would like to receive the follow-up survey in early December

Yes I am available to be part of a focus group in the New Year

Contact Information