Patient Survey On Alcohol

Dear Patient,

When you registered at Bath Row Medical Practice during the last year, you were asked about your alcohol intake. We are conducting a short survey on how we collect alcohol data at the practice.

Please answer all of the questions and click Send when you are done.

QA1: DID YOU UNDERSTAND THE QUESTIONS?

Yes

QA2: DID YOU RECEIVE FEEDBACK ON YOUR ALCOHOL SCORE?

Yes

QA3: HAS YOUR ALCOHOL INTAKE

Increased

Decreased

I do not drink alcohol

Thank you for taking time to answer the questions on this survey.