Please choose from the following list:
Extremely LikelyLikelyNeither Likely nor UnlikelyUnlikelyExtremely Unlikely
Please give the reason for your answer?
Which Best Describes You? Please choose from the following list:
PatientCarerFamily MemberColleagueMember of Staff
Are You Male or Female?
How Old Are You?
What is Your Ethnic Group?
NoneWhiteMixed / Multiple Ethnic Group
Please identify which Practice you attend:
MWH Practice SouthallMWH Practice Hounslow
Please click to submit your response