Patient Participation Group Enrolment

All registered patients are welcome to enrol to join the PPG and receive its information and contribute to its business in person at meetings or by letter or email via the Practice.

Patient Participation Group Registration

Patient Participation Group Registration

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Are you:

Male

Female

How would you describe how often you come to the practice?

Regularly

Occasionally

Very rarely

Ethnic Background:

White British

White Irish

White and Black Caribbean

White and Black African

White and Asian

Indian

Pakistani

Bangladeshi

Caribbean

African

Chinese

Other

Age group:

Under 16

17 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65 - 74

75 - 84

Over 84