Constipation Quality of Life Survey Question Title * Name of Centre Ashford Hospital Conquest Hospital Hastings Croydon University Hospital Darent Valley Hospital Dartford & Gravesham East Surrey Hospital Eastbourne Hospital Epsom Hospital and St Helier Hospital Evelina Children's Hospital Kent and Canterbury Hospital Kings College Hospital Kingston Maidstone Hospital Medway Maritime Hospital Princess Royal University Hospital Queen Elizabeth Hospital Queen Elizabeth, The Queen Mother Hospital Margate Queen Mary's Hospital Sidcup Royal Alexandra's Hospital Royal Marsden Sutton Royal Surrey County Hospital St George's Hospital St Peter's Hospital Surrey and Sussex Tunbridge Wells Hospital Penbury University Hospital Lewisham William Harvey Hospital Ashford Worthing Hospital Other (please specify) Question Title * Please choose one of the following: I am the... Patient - Child / Teenager Parent / Family Member / Guardian / Carer Next