* 1. Section A: Nominee's details

* 2. Section B: Your details

* 3. Comment on the availability of the GP supervisors for corridor consultation and formal teaching.

* 4. Comment on the quality of the teaching provided (both formal and informal).

* 5. Comment on the support given to doctors-in-training by all members of the training facility (both medical and non-medical).

* 6. Comment on the commitment of practice staff to training.