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* 1. Address

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* 2. What is your age?

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* 3. What is your gender?

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* 4. Which area do you reside in?

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* 5. How often do you attend a gynaecological service?

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* 6. Where do you attend these services? (hospital, other)

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* 7. If you could attend any time during the day or evening, what would be the best time of day for you to attend appointments?

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* 8. Do you understand the range of gynaecology services available in your area?

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* 9. How would you like to hear about any updates to the service?

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* 10. Can you tell us about any problems you have experienced attending appointments? (e.g. availability of car parking, public transport, location, disabled access)

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* 11. Do you have any specific needs that the service does not currently meet?

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* 12. At appointments are you treated with respect and dignity?  Please provide details.

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* 13. Did you know that you are able to ask to have a chaperone attend with you?  If yes, where did you hear about it?

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* 14. Do you feel listened to and involved in decisions around your gynaecology care?

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* 15. If you could change one thing about the service what would it be?

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