You are being invited to take part in this survey because you have recently had a visit at Somerset West Community Centre. Your responses to the questions on this survey will help us improve the care we provide. There are six sections of the survey and it will take approximately 5 minutes to complete.

Participation in the survey is voluntary and all your responses to the survey questions will be kept confidential.

* 1. Are you completing this survey for yourself or for another person?

* 2. If you are completing this survey for someone else, who are you completing it for?

* 3. How was the appointment for your most recent visit made?

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