Dear Patient.

We would like to know how to improve our services and are setting up a patient representation group PRG so you can have your say. We will ask questions from this group from time to time; such as, what you think about quality of care. We will use various methods of contact according to your preferences. We aim to contact as wide a spectrum of patients as possible. We need every one - young people, workers, retirees, people suffering from long-term conditions and people from non-ethnic groups. If you are happy for us to contact you occasionally by email or post, please complete the form below. Alternatively fill one in at surgery and give it to us.
Many thanks for your assistance.
Mrs S Sharp Practice Manager.


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Ethnic background
How often do you come to the practice?