Branch Closure Consultation Survey
Are you/your child registered with The Culverhay Surgery?
What is the first part of your postcode?
Do you understand the practice’s reason for the branch closures?
Do you support the practice’s plan in principle to close the branch surgeries?
Where do you normally go for your appointments?
When did you last visit the practice? If you visited the practice today do not count this in your response.
Thinking about the last 12 months, how often have you visited the main practice (Culverhay)?
How many times in the last 12 months have you visited a branch surgery?
In the likely event of Wickwar and Hawkesbury Upton branch surgeries closing, how would you access GP services?
We would welcome any other comment you may have.
The remaining questions are optional: Are you male or female?
What is your age?
Overall, how would you rate your health during the past 4 weeks?
Do you consider yourself to have a disability?
Do you look after, or give special help to anyone who is sick, has a disability, or is an older person, other than in a professional capacity?
To which ethnic group would you say you belong?