SAPA5 Patient Participation Group Question Title * 1. How often have you had contact with your G.P practice during the past 12 months? 0 1 - 5 6 - 10 more than 10 Question Title * 2. Were you aware that your G.P practice is a part of SAPA5 Primary Care Network? Yes No Question Title * 3. Tick all of the services below that you have been involved with during the past 12 months? Link Support Worker Care Coordinator Welfare Coach Stop Smoking Physiotherapist None of the above Question Title * 4. Were you aware that your G.P practice could offer the services that have been mentioned in question 3 above? Yes No Question Title * 5. How young are you? 18 – 25 26 – 40 41 – 55 56+ Question Title * 6. Can you support SAPA5 Network Patient Participation Group for a couple of hours a month? Yes No Question Title * 7. If you can help, how would you like to attend the meetings? Face to Face On Line Question Title * 8. How could we contact you? Please provide telephone number, email address or postal address. Question Title * 9. What is your first name? Question Title * 10. Thank you for taking the time to complete this questionnaire, your support is appreciated. If you would like to add in anything please do so below. Done