MEN'S HEALTH SURVEY                                       

MEN! We want to understand how you look after your health and see if we can support you better.
Please take 5 minutes to answer the questions below so we can help you look after your health
(Questions 11-7 really help us make sure we are offering the right services)

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* 1. How often have you visited your GP (doctors) in the last year:

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* 2. Why did you visit the GP?

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* 3. Have you used any of the following services in the past 12 months? (tick all that apply)

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* 4. Do you attend any health groups in the community (i.e. support for smoking, weight loss)

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* 5. Where do you get information about your health? (tick all that apply)

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* 6. Did you know you can have a free health check every year if you are age 40-74? (e.g. blood pressure check)

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* 7. Have you ever had a health check?

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* 8. Would you go back for another one next year?

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* 9. If you don’t go to the GPs very often, why is this? (tick all that apply)

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* 10. Do any of these help you have a healthy lifestyle? (tick all that apply)

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* 11. How old are you?

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* 12. What gender are you?

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* 13. Ethnic origin

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* 14. Religion and belief

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* 15. Sexual orientation

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* 16. Do you consider yourself to have a disability or a long term condition? 

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* 17. What is you marital/civil partnership status?

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* 18. The survey is anonymous but please provide us with the first part of your postcode (eg NG5, NG3) so we know where services may need improvement

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