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* 1. We welcome patient feedback to tell us what we are doing right and what we can improve. Thinking about our practice...
Overall, how was your experience of our service?

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* 2. Are You? (optional question)

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* 3. What age are you? (optional question)

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* 4. Do you consider yourself to have a physical or mental health condition or disability (optional question)

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* 5. Which of the following best describes your ethnic background? (optional question)

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* 6. Are you (optional question)

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