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* 1. What hospital site did you attend?

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* 2. Today's date

Date

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* 3. How was your experience of our service?

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* 4. What went well with your care and treatment?

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* 5. What could we do better?

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* 6. Are you happy for us to publish your comments anonymously?

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* 7. My age is

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* 8. Are your day-to-day activities restricted due to a health problem or disability?

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* 9. Which of the following best describes your gender?

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* 10. Trans is an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth.

Do you consider yourself to be a trans person?

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* 11. Which of the following options best describes your sexual orientation?

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* 12. What is your ethnic group?

0 of 12 answered
 

T