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Patient Service Delivery
*
1
. Are you a patient or carer?
Are you a patient or carer?
Patient
Carer
*
2
. Are you male or female?
Are you male or female?
Male
Female
*
3
. How old are you?
How old are you?
20-35
36-45
46-55
56-65
66-75
76+
*
4
. Where do you live?
North East England
North West England
West Midlands
East Midlands
London
South East
South West
South Central
Scotland
N Ireland
Wales
Where do you live?
5
. Do you have any special communication needs?
Do you have any special communication needs?
No
Visually impaired
Hearing impaired
English not first language
Other reading difficulties
Other (please specify)
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