Are you a stakeholder or a patient?
If you are a patient, which surgery are you registered with?
On average, how often do you use the surgery
Do you have any ideas or suggestions on how to reduce the impact of the proposed merger, if you feel the merger will have an impact on you - please share you concerns here...
How did you become aware of this consultation
Please provide any other thoughts or comments for the practice management to consider as part of this process
Do you have any physical or mental health conditions, impairments, or learning differences that impact on your ability to carry out day-to-day activities - please select all that apply
Which of the following best describes you
What best describes your age group
What best describes your ethnicity
Which of the following options bests describes you