Background Information

Please note, this survey may be available in different languages soon. Links to follow.
Thank you for taking the time to complete this survey. Your answers will help us to:

Here is how we will respond:
Your answers will help us understand the needs of the local population and help direct how future care is provided within Practices and the Primary Care Network.
This survey is open to anyone registered with the following practices:

Bakersfield Medical Centre

Greendale Primary Care Centre

Parliament Street Medical Centre

Family Medical Centre

Wellspring Surgery

The Windmill Practice

Victoria and Mapperley

We value the views of everyone who lives in our community.

You can answer as many or as few questions as you feel able to.

The results of this survey are for internal use. We will post the details of the survey results on the Practice websites.

If would like to participate in our focus group please enter your contact details in question 29 at the end of the survey.

Please complete the survey by 8th July 2022.

The survey will take approximately 10 minutes to complete.

If you have any queries about completing this survey, please contact 0115 883 1900.

If you need a paper copy of this survey, please contact your GP practice.

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* 1. Please enter the first 3 characters of your postcode, for example NG6

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* 2. Which of the following best describes you?

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* 3. Is your gender identity the same as the sex you were registered at birth?

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* 4. What is your ethnic group?

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* 5. How old are you?

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* 6. Which of these best describes what you are doing at present?

If more than one of these applies to you, please select the box next to the main one only.

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* 7. Are your day to day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

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* 8. How would you describe this health problem or disability? Please select all that apply to you.

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* 9. Do you look after, or give any help or support to, family members, friends, neighbours or others because of either:

• long-term physical or mental ill health / disability, or
• problems related to old age?

Don’t count anything you do as part of your paid employment.

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* 10. Are you a parent or a legal guardian for any children aged under 16 living in your home?

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* 11. Are you a deaf person who uses sign language?

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* 12. Are you blind or partially sighted?

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* 13. If you answered yes to question 11 or question 12, what is your preferred method of communication?

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* 14. Which of the following best describes your smoking habits? 

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* 15. Which, if any, of the following best describes your religion?