Sexual Health Clinic- Patient Feedback

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

Yes

No

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

Yes

No

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?

Prefer not to attend my GP practice

My own GP practice advised me to attend

The appointment offered at my GP practice was not soon enough

Location of clinic is more accessible for me

Time of clinic is more convenient for me

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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:

Email Address

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