Please help us understand how you found us and why you chose our practice by completing this questionnaire. This is completely anonymous and any information you provide will be treated in the strictest confidence.

 

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* Are you:

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* Which of the following age groups applies to you?

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* How did you first hear about the practice?

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* Why did you originally choose this practice?

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* How far do you travel to the practice from your home?

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