Survey

By providing us with your contact details, you automatically participate in a raffle to win one of our 100 notebooks. However, you can also participate in the survey anonymously by checking the box opposite. If you choose this option, you waive the chance to participate in the prize draw and to receive information from us, as described above. The data shown above will only be used by Lausanne University Hospital to enter you into the contest, send you a prize, where appropriate, and keep you informed by email about the release of future issues.

Under no circumstances will data provided to us here be transmitted to any third parties by Lausanne University Hospital.

Prizes cannot be exchanged or converted into cash. We will enter into no correspondence about the draw. Each person can only win once in the draw. There can be no legal appeal. Prizes that cannot be sent to a recipient will be submitted to a new draw.

By submitting the completed form, you confirm your agreement to these terms and conditions for the competition. The draw ends when the survey is completed, i.e. 15 July 2015.

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Survey

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