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1. What is your gender?

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2. How would you rate your experience with CIPHER Medical?

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3. How were the ambulance crew in supporting your needs?

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4. Are you happy with the service you received from CIPHER Medical?

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5. Did you feel involved in planning your care and options for treatment?

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6. Did you feel your care was co-ordinated to your needs?

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7. Please free text any other comments about your experience with CIPHER Medical

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