Otpimal Health Community Lifestyles Directory
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1. Default Section
1
. Age Group?
Age Group?
<25
25-35
36-45
46-65
>65
2
. What is your Postcode?
What is your Postcode?
3
. What is your Gender?
What is your Gender?
Male
Female
4
. Did you find the Community Lifestyles Directory easy to use?
Did you find the Community Lifestyles Directory easy to use?
Yes
No
Why?
5
. Did you find the directory beneficial/useful?
Did you find the directory beneficial/useful?
Yes
No
Why?
6
. Do you prefer to use the internet version or a hard copy of the directory?
Do you prefer to use the internet version or a hard copy of the directory?
Internet Version
Hard Copy Version
7
. Which Long Term Illness do you have if any?
Which Long Term Illness do you have if any?
Arthritis
Hear
Lungs
Kidney
Diabetes
Stroke
None
Other (please specify)
8
. Have you attended a group or activity you have found on the directory?
Have you attended a group or activity you have found on the directory?
Yes
No
Group/Activity Name Attended
9
. Are you from:
Are you from:
General Public
General Practice
Community Organisation
Other (please specify)
10
. WE APPRECIATE YOUR FEEDBACK PLEASE LEAVE ANY OTHER COMMENTS HERE
WE APPRECIATE YOUR FEEDBACK PLEASE LEAVE ANY OTHER COMMENTS HERE
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