Do you suffer from a long term condition?

The Practice is dedicated to helping our patients find ways of managing their conditions. We are simply trying to find out how much our patients know about the local services . For registered patients only of Langworthy Medical Practice

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* 1. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

Prefer not to say

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* 2. Have you been diagnosed with any of these long term conditions? (Please select all that apply.)

Asthma

Chronic Obstructive Pulmonary Disease

Hypertension

Type 1 Diabetes

Type 2 Diabetes

Chronic Heart Disease

Chronic Kidney Disease

Non of the above( please free type below )

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* 3. Are you aware that there are local services you can use to help manage these conditions ?

Yes , which ones ?

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* 4. Do you ever feel like you are lonely or isolated? (please tick below)

Loneliness

Isolation

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* 5. Are you aware that there are local services that can help you manage these conditions?

Yes, which services?

If you would like more information about these services please contact reception on 0161 737 9244