Demographic information

Please help us by answering the following questions about your experience during your recent visit to the Outpatients Clinic.

We are committed to meeting your health care needs, and your responses to these questions will allow us to identify things that need to be improved.   

Answers from all people surveyed will be gathered together and presented in a report used to improve our services.  Your answers are confidential; they will not be separately reproduced in this report.

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* What is your gender?

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* What age group are you in?

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* Which hospital did you visit for your appointment?