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* 1. Are you Male or Female? 

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* 2. How old are you? 

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* 3. Which surgery is your usual doctor based? 

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* 4. In the past 12 months, how many times did you visit your GP?

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* 5. If you visited your GP more then 4 times, choose below the reasons for those visits.

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* 6. Would you be interested in attending an educational event to learn more about your own or other medical conditions?

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* 7. If yes, please see the medical conditions listed below and rate them from 1 to 10 in order of importance to you. (1 being most important).

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* 8. Which time slot below would work best for you? 

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* 9. Would you be interested in the opportunity to talk to an external health care professional regarding any health queries? E.g. A Diabetes Specialist, a dementia specialist, a mental health worker. 

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* 10. If Yes, do you have any suggestions?

0 of 10 answered
 

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