It's your choice

We want to know if you are being offered the choice you should be getting. We would like patients in east and north Hertfordshire to complete this short survey, it will take just a couple of minutes of your time.

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* 1. Select your GP practice from the following list:

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* 2. Prior to visiting your GP practice, did you know that you have a choice of hospitals that you can go to for your first hospital appointment?

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* 3. Did your GP or practice staff mention you had a choice of hospitals?

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* 4. Did you discuss which hospital you might go to with your GP or other member of practice staff?

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* 5. Were you offered a choice of hospital for your first hospital appointment?

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* 6. If you answered yes to Q5, did you have enough information to help you make your choice?

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* 7. Were you able to go to the hospital that you wanted to go to?

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* 8. Are you aware of how to complain if you feel you were not offered a choice of hospital?

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* 9. What factor most influenced your choice when choosing the hospital for your first appointment? Choose all that apply

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* 10. Please add any comments you wish regarding the offering of choice:

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