Are you completing this questionnaire as a...

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* 1. Are you completing this questionnaire as a...

At what age was medical care first required? (if close to 16 please include months)

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* 2. At what age was medical care first required? (if close to 16 please include months)

Please state age when care transferred to adult care if applicable

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* 3. Please state age when care transferred to adult care if applicable

Medical condition/s (optional)

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* 4. Medical condition/s (optional)

Was the transition from paediatric to adult services planned with you? If yes would you describe it as... (Further details can be given at the end of questionnaire, as this would be helpful)

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* 5. Was the transition from paediatric to adult services planned with you? If yes would you describe it as... (Further details can be given at the end of questionnaire, as this would be helpful)

Is the main care for this medical condition? (Further details can be given at the end of questionnaire, as this would be helpful)

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* 6. Is the main care for this medical condition? (Further details can be given at the end of questionnaire, as this would be helpful)

If transfer was required through Ronaldsway Airport please describe

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* 7. If transfer was required through Ronaldsway Airport please describe

  Very good Good Poor N/A
Facilities for patients
Service for patients
Do you feel there is good support/care for young people with this medical condition on the island? If yes from whom? (please tick all that apply)

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* 8. Do you feel there is good support/care for young people with this medical condition on the island? If yes from whom? (please tick all that apply)

Please give details of the support and care which you have found to be most helpful. Please add any other information you feel would be useful.

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* 9. Please give details of the support and care which you have found to be most helpful. Please add any other information you feel would be useful.

If you would like to provide your name and contact details please do so but this is entirely optional. Please be assured that all information given will be treated with utmost confidentiality. 
Thank you for taking the time to complete our questionnaire. Your input and suggestions will help Bridge the Gap to shape the long-term vision of this charity.

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* 10. If you would like to provide your name and contact details please do so but this is entirely optional. Please be assured that all information given will be treated with utmost confidentiality. 
Thank you for taking the time to complete our questionnaire. Your input and suggestions will help Bridge the Gap to shape the long-term vision of this charity.

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