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Graham Road Surgery - Patient Survey

A vibrant and welcoming healthcare facility with people accessing services, emphasizing community support and care, illustrating diverse ethnic backgrounds and transport methods like walking or cycling.

Graham Road Surgery Patient Survey

Welcome to the Graham Road Surgery Patient Survey! We value your input as we strive to enhance our medical services to meet your needs. This survey will help us understand your preferences, concerns, and suggestions regarding the potential relocation of our facility.

Your feedback is crucial as we aim to ensure equitable access to healthcare for all. Please take a moment to share your thoughts!

20 Questions5 MinutesCreated by CaringHeart27

Where do you currently access GP medical services?

Graham Road Surgery

Horizon Health Centre

Other

In the event that Graham Road Surgery were to re-locate, would you be able to satisfactorily access the medical services at the Rugby Club site?

Yes

If the answer to Question 2 is No, what would you find most difficult about accessing services at the Rugby Club site?

If you access GP services from Graham Road Surgery, what transport method do you use to get to the practice?

Walk

Cycle

Drive / Driven

Public Transport

Community Transport (e.g. Dial-a-ride)

Other

Have you any views, suggestions or concerns about the relocation of primary care services to the new development that you would like to share with the team?

Equality Monitoring Questions:

Please provide us with some information about yourself. We do this to make sure that our services are being accessed by everyone who is entitled to use them. It is not compulsory to do so, but you can be assured that all the information you do provide will be kept completely confidential. No identifiable information about you will

be passed on to any other bodies, members of the public or press.

Equality Monitoring Questions:

be passed on to any other bodies, members of the public or press.

Are you...

Male

Female

Transgender

I would rather not say

Other

Please Specify:

Which age group applies to you?

16-24 years

25-34 years

35-44 years

45-54 years

55-64 years

65 years and over

I would rather not say

What is your ethnic group?

This is about the ethnic group to which you feel you belong and not about citizenship or nationality. If you feel you belong to more than one ethnic group, please choose the one you feel you most belong to or choose the ‘Mixed/multiple ethnic background’ option.

What is your ethnic group?

White

English/Welsh/Scottish/Northern Irish/British

Irish

Gypsy or Irish Traveller

Any other white background

Asian or Asian British

Bangladeshi

Indian

Pakistani

Chinese

Any other Asian background

Mixed

White and Black Caribbean

White and Black African

White and Asian

Any other mixed/multiple ethnic background

Black/African/Caribbean/Black British

Caribbean African

Any other Black/African/Caribbean background

Other ethnic group - please specify

Which of the following options best describes how you think of yourself?

Heterosexual or Straight

Gay or Lesbian

Bisexual

Person asked and does not know or is not sure

Not stated (person asked but declined to provide a response)

Not known (not recorded)

Other

Please Specify:

What is your religion or belief?

Are you a disabled person as defined by the Equality Act 2010?

Yes

I would rather not say

The Equality Act 2010 defines a disabled person as “someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities”.

If yes, please tick all which apply

Long-term illness/health condition

Learning Disability

Mental Health Condition

Physical Impairment

Sensory Impairment

Other

Thank you for completing the questionnaire and Equality Monitoring questions. If you have any further queries please email [email protected]

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