This survey is now closed

Dear Patient,

Many thanks for agreeing to take this short diabetic survey enabling our practice to review your current diabetic care.

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

Q1. Please indicate your age ?

 
 
 

Q2. Are you Male/Female ?

 
 

Q3. Please indicate the type of diabetes you have.

 
 

Q4. Where do you receive your diabetic review/care?

 
 
 

Q5. Please indicate how you consider your current diabetic care within this practice.

1 Poor - 5 Excellent

 
 
 
 
 

Q6. Has there been anything particularly good about your diabetes care at the Practice?

Q7 . Could any area of your care be improved?

Q8 . Please indicate any diabetic information you would like to be made available to you?

Q9. What outcomes would you like to work towards?



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

This survey is now closed