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Dear Patient,

Please enter your name, email address, postcode

Usual Surgery:

  61%
  0%
  38%
  0%

Q1. Are you?

  22%
  75%
  3%

What age are you?

  0%
  2%
  8%
  8%
  22%
  33%
  19%
  2%
  0%
  6%

Q2. To help us ensure our contact list is representative of our local community please indicate which of the following ethnic backgrounds you would most closely identify with?

  94%
  2%
  0%
  0%
  0%
  0%
  2%
  0%
  0%
  0%
  0%
  0%

Q3. How would you describe how often you come to the practice?

  44%
  33%
  22%

Q4. The practice would like to know what issues do you think are important at this practice, areas that you might consider include:

Access: Opening times, Waiting Times, Telephone Times

Experience: Of being a patient at this Practice

Premises: What are your thoughts on our premises?

Many thanks for your time in answering the questions on this survey.