About you:

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* 1. Have you (or someone you care for) been discharged from hospital in the last 12 months?

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* 2. Do you take regular medication?

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* 3. Do you live in London?

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* 4. What is the location of the hospital where the discharge happened?

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* 5. Which London borough were you treated in?

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* 6. If you would like to tell us the name of the organisation where you were treated, please write it here. 

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* 7. For how long were you or the patient in the hospital?

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* 8. Approximately how long ago did the discharge from hospital happen?

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* 9. Did you or the patient remain on the same ward throughout the duration of the stay?

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* 10. Gender

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* 11. How old are you?

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