Indicates required field What is the name of your GP practice? How do you prefer to be seen? Questions Strongly disagree Disagree Neutral Agree Strongly agree In general, I prefer to have my appointment with a GP over the telephone or online Strongly disagree Disagree Neutral Agree Strongly agree In general, I prefer to have my appointment with a GP in-person Strongly disagree Disagree Neutral Agree Strongly agree When did you last have an appointment? within the last month within the last 3 months within the last 6 months within the last year over a year ago How were you seen for that appointment? How were you seen for that appointment? - Select -Face to face in the surgeryOver the phoneVideo call or by using an appOther… Other (please describe) Was that your first choice/preferred way to be seen? Yes No Don't remember Why did you choose to be seen that way (please select all that apply) I didn’t know that I had a choice I didn’t know that a face-to-face appointment was an option I could be seen sooner that way I could be seen at a time that suited me better I could only see my preferred GP that way Phone/virtual appointments are more accessible to me Other… Enter other… My gender My gender - None -FemaleMaleNon-binaryPrefer not to sayPrefer to self-describe Enter other… My age - None -15 or younger16 to 1718 to 2425 to 4950 to 6465 to 7980 or olderPrefer not to say My ethnicity My ethnicity - None -ArabAsian/ Asian British: BangladeshiAsian/ Asian British: ChineseAsian/ Asian British: IndianAsian/ Asian British: PakistaniAsian/ Asian British: Any otherBlack/ Black British: EritreanBlack/ Black British: GhanaianBlack/ Black British: NigerianBlack/ Black British: SomaliBlack/ Black British: Other AfricanBlack/ Black British: CaribbeanBlack/ Black British: Any otherMixed: Asian and WhiteMixed: Black African and WhiteMixed: Black Caribbean and WhiteMixed: Any other mixedWhite: BritishWhite: IrishWhite: Greek/ Greek CypriotWhite: Any otherWhite: RomaWhite: Turkish/ Turkish CypriotOther: KurdishOther: Latin AmericanOther: Middle EasternPrefer not to sayAny other ethnic group Enter other… Submit Leave this field blank
