This survey is now closed

RESILIENCE SURVEY

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.

This survey is now closed