9 Day Fortnight Request Form
Only complete this form if you would like to opt-in to the 9 day fortnight trial.
Name
*
First Name
Last Name
Which area of the business do you work for?
Xyla Health and Wellbeing
Xyla Digital Therapies
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What team do you work in?
Please Select
Children and Young People
Clinical
Operations
Patient Services Team
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What team do you work in?
Please Select
App Support Team
Business Development
Central Health Coaching Team
Diabetes Practitioner Team
Digital AWM Delivery Team
Marketing
MDT
Operations
Patient Support Team
Support Services
Transformation
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What is your job title?
*
What is your current working pattern?
We will need to find a pattern of days off for each individual that is fair and works for you as well as the business. If there is a specific day off you would need or you would prefer a particular day, please include this day and the reason in the box below.
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