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* 1. Before making the appointment at the Sexual Health clinic, did you contact your own GP practice for an appointment?

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* 2. Did you attend the clinic today for fitting or removal of a contraceptive coil or implant?

If you answered Yes, please skip to Question 4.

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* 3. What was your main reason for choosing an appointment at the Sexual Health clinic rather than your GP practice?

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* 4. We welcome and appreciate feedback of the Sexual Health clinic and encourage patients to share their experience of the service. We would like to add you to our mailing list to take part in our surveys and share our information of the service. If you are happy and consent to this, we would be grateful if you could provide your email address in the box below:

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* 5. Please use the box below to share any further comments you may have:

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