Willow Street Medical Centre

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Patient Participation Group

If you wish to join the group you can download the form here (please return to the surgery upon completion) or fill in the online version below.

Name:

Email:

Postcode:

To enable us to speak to a representative sample of patients
that are registered at the practice please indicate the following

Are You?

Male

Female

Age Group

Under 16

55 - 64 yrs

17 - 24 yrs

65 - 74 yrs

25 - 34 yrs

75 - 84 yrs

35 - 44 yrs

Over 84

45 - 54 yrs

 

 

Ethnic Origin - I would describe my ethnic origin as follows:
(please tick as appropriate)

White

 

British Group

Irish

Mixed

 

White & Black Caribbean

White & Black African

White & Asian

Asian or British

 

Indian

Pakistani

Bangladeshi

Black or Black British

 

Caribbean

African

Chinese or other
Ethnic Group

 

Chinese

Any Other

How would you describe how often you come to the Practice?

Regularly

Occasionally

Very rarely

To get us started - Ideas/Suggestions/Comments

 

Please note that no medical information or questions will be responded to.

Survey Results

The results our practice survey will be available here before the 30th of March.

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