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* 1. How many medical appointments have you had in the last 2 years?

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* 2. Do you have a long term condition? For example, a learning disability, a long term mental health condition, physical impairment, blind/sight impairment, deaf or hearing impairment.

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* 3. How satisfied are you with the care and treatment you receive on a scale of 1-10 (with 1 very poor and 10 excellent)

  1 2 3 4 5 6 7 8 9 10 N/A
From your GP surgery
From your local hospital
From your district nurse
When going for a blood test
From a specialist hospital

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* 4. What would improve the experience?

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* 5. What do you think is the best thing about local healthcare?

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* 6. What else matters to you in relation to your health and wellbeing?

Getting the right help when you need it
Across the UK, the way our GPs and other healthcare professionals work together is changing to help you get the care you want, when you need it.

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* 7. Would you be happy to see another healthcare professional (like a pharmacist or a paramedic) rather than a GP, if you could be seen quicker?

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* 8. Would you be happy to have an alternative appointment e.g. talking to a practitioner online or on the phone rather than in person, if you could get an appointment sooner?

Helping you stay well

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* 9. We want to do all we can to support you to stay well, and in doing so, reduce the number of people who need specialist hospital care.  What do you think would help with this? (select all relevant)

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* 10. Thinking about how much contact you’ve had with people you like, which of the following statements best describes your social situation? 

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