* 1. Which of the following best describes you?

* 2. Do you, or someone you care for, have coeliac disease and/or dermatitis herpetiformis?

* 3. Rate your agreement with the following statements:

  Strongly agree Agree Neither agree, or disagree Disagree Strongly disagree
I understand why Wiltshire CCG is reviewing its gluten-free food on prescription policy?
I think that gluten-free foods are readily available in supermarkets, shops and cafes?
I think that gluten-free foods are affordable?
I think that to stop prescribing gluten-free foods will make it harder to follow a gluten-free diet?
I think there is sufficient information and support available to help people to manage a gluten-free diet?
I think it is appropriate that the NHS provides gluten-free foods on prescription?

* 4. I support Wiltshire CCG to:

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