Gender
What is your age group
Ethnicity
Would you be willing to provide us with your email address? If you answer "yes" please send details to the practice email which is reception.kaw@nhs.net
Can we contact you for updates on your views
Have you registered for Online Services
If you were encouraged to register which of the following benefits do you think you would use (you may tick more than 1 answer)
Would you contact the chemist if you had a sore throat, flu symptoms, head lice, before contacting the surgery
If you answered No to the above question why is that
Would you like to receive more information on self-care
What further information would be useful
Do you look at our website
Is there any further information you would like to see
Would you be willing to have telephone conversation appointments
Is there any other information that would be useful, such as details of Social Services, Diet information etc.