Garlinge Branch Closure Questionaire

Patient Survey

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* 1. Are you/your child registered with the The Limes Surgery?

Yes

No

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* 2. Having read the letter do you understand the practice’s reason for the branch closures?

Yes

No

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* 3. Where do you normally go for your appointments?

The Limes Medical Centre

Garlinge Branch Surgery

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* 4. We would welcome any other comments you may have:

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* 5. When did you last visit the Limes Surgery? If you visited the practice today do not count this in your response:

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* 6. How many times in the last 12 months have you visited the Garlinge branch surgery?

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* 7. In the likely event of Garlinge branch surgery closing, how do you think you would access GP services?

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* 8. Do You consider yourself to have a disability?

Yes

No

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* 9. Do you consider yourself a carer?

Yes

No

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* 10. Please describe your ethnicity