Patient participation group questionnaire

We value input from our patients and would very much appreciate your opinion on the following questions.

All data is anonymous. Collated results will be shared with our patient participation group.

Thank you for taking the time to give us you feedback.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01246 826815.