* 1. Is your GP surgery in Brent?

* 2. Do you have problems hearing people when they talk to you? Do you have hearing aids or are you deaf?

* 3. Do you find it difficult to see or read information or are you blind?

* 4. Do you have a learning disability?

* 5. Do you find it difficult to understand information from your GP staff because you have sight or hearing problems or a learning disability?

* 6. Has your GP surgery asked you the best ways to give you information and the best ways to communicate with you?

* 7. Does your GP practice tell other NHS services that you have sight or hearing problems or a learning disability?

* 8. Has your GP practice made it easier for you to understand information or to communicate with you?

* 9. If yes, please tell us how your GP practice has made it easier to understand or communicate better with you. (For example by using large print, easy read, text messages and reminders, emails, phone calls, longer appointments or any other ways)

* 10. What else could your GP practice do to communicate with you better because of your needs?

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