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Wickham Surgery, Wickham Hants

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The questions below are extremely helpful for Wickham Surgery to try and provide the best possible service.

Please answer all the questions you feel able to.

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Question 1.

We would like you to think about your recent experiences of our service. How likely are you to recommend our service to friends and family if they need similar care or treatment?

Question 2.

Please leave any comments regarding your experience here

Question 3.

What is your gender?

Question 4.

What age are you?

Question 5.

What is your ethnic group?

Question 6.

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? (include any issues/problems related to old age)