* 1. Why you would be most interested in using a service on the weekend (tick as many as apply)

* 2. To help us plan what NHS family doctor services are offered at weekends, please rank these in the order you feel are most least important, by rating them from 1 to 5 (1 = most important, 5 = least important)

Services like these are being offered outside normal working hours (at a GP extended access service) in Bradford.  This is currently open during the evening between 6.30 pm and 9.30 pm by appointment only.  We are planning to extend this service right across Bradford next year, and also to offer it at weekends.  The questions below are to find out your views about what services you would be likely to use.

* 3. How likely is it that you or your family would use a service on a Saturday morning? Please tick as appropriate for all the questions below.

* 4. How likely is it that you or your family would use a service on a Saturday afternoon?

* 5. How likely is it that you or your family would use a service on a Sunday morning?

* 6. How likely is it that you or your family would use a service on a Sunday afternoon?

* 7. What’s the maximum you are prepared to travel to an appointment at the extended access hub (please tick one answer)

* 8. How do you usually travel to your health appointments?

* 9. If you didn’t use this weekend service, what would you do instead?

* 10. Would you prefer to book appointments in advance or on the day? (please tick one)

* 11. Would you be happy to be offered a telephone consultation with the GP/ service (instead of a face to face appointment)?

* 12. What would stop you using a weekend service? (tick as many as apply)

* 13. How could we overcome these barriers? (so you could more easily attend the service)

* 14. How would you like to find out more about the services that are offered?

* 15. We would like to talk to you again in the future about expansion of the extended access service – to ask your views about the location of services. What is the best way to contact you?

Please provide your details, if you are interested -

* 16. How would you like to contact us, in future?

Thank you for completing this questionnaire about weekend extended access services.  Your views are valuable to us.

We are using the same template for online and printed surveys. If you are completing a paper copy of this form, please return this form by no later than 30 September 2017 to:

Extended access survey
Freepost RTEK-UHKG-UBEK
Douglas Mill
Bowling Old Lane
Bradford BD5 7JR

You do not need to put a stamp on the envelope.

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