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1. What is your age range?
2. What is your ethnic group eg: White British, Black African White Polish etc. (please write below)
3. Are you male or female?
4. Do you feel you have a disability?
5. Are you a carer?
6. Which of the following categories best describes your employment status.
7. Have you been in contact with the surgery within the last six months?
8. If you have booked an appointment within the last six months how did you book the appointment?
9. Do you have knowledge of the online booking system and the medical records viewer system?
10. How easy is it to get through to the surgery on the telephone?