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* 1. Name (Optional)

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* 2. Date of Birth (Optional)

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* 3. Generally, how easy or difficult is it to contact your GP practice on the phone?

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* 4. Generally, how easy or difficult is it to contact your GP practice using their website?

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* 5. Generally, how easy or difficult is it to contact your GP practice using the NHS App?

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* 6. Overall, how helpful do you find the reception and administrative team at your GP practice?

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* 7. How often do you get to see or speak to your preferred healthcare professional when you ask to?

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* 8. Once you had contacted your GP practice, did you know what the next step in dealing with your request would be?

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* 9. How soon after you contacted your GP practice did you know what the next step would be?

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* 10. Overall, how would you describe your experience of contacting your GP practice on this occasion?

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* 11. Were you offered the following choices?

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* 12. How do you feel about how long you waited for your appointment?

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* 13. During your last appointment, how good was the healthcare professional at listening to you?

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* 14. During your last appointment, how good was the healthcare professional at treating you with care and concern?

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* 15. During your last appointment, how good was the healthcare professional at considering your mental well-being?

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* 16. Did you feel that the healthcare professional had all the information they needed about you?

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* 17. Did you have confidence and trust in the healthcare professional you saw or spoke to?

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* 18. At your last appointment, were you involved as much as you wanted to be in decisions about your care and treatment?

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* 19. In the last 12 months, have you had enough support from local services or organisations to help you manage your conditions or illnesses?

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* 20. Thinking about the reason for your last appointment, were your needs met?

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* 21. Are you?

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* 22. What age are you?

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* 23. Do you consider yourself to have a disability 

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* 24. Which of the following best describes your ethnic background 

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