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Patient Participation
Group Signup
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Title:
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Mr
Mrs
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Ms
First Name(s):
Surname:
Email:
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Telephone:
Date of Birth:
The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.
Your Gender:
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Male
Female
Your Age:
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17 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
Over 84
The ethnic background with which you most closely identify is:
Ethnicity background:
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British Group
Irish
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White & Asian
White & Black African
Indian
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Any other
How would you describe how often you come to the practice?
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Two Steeples Surgery Closure - Wednesday 25th May 2022
Our PLT training event will commence from 13:00 on the 25th May 2022, the Medical Centre will reopen the following morning on the 26th May at 08:00.
All calls will be diverted to our Out of Hours Service and support its readily available from NHS 111 online.
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