Thank you for choosing to complete the following questionnaire by visiting or scanning QR code from your appointment letter. The questionnaire is to find out more information before you attend your appointment. This must be submitted at least 5 days before your appointment takes place.
Please make sure you have entered your own personal email address correctly as we will reply to confirm we have received your form and you will also receive a copy of the submitted form via email. If we have any questions regarding your response we will also get in touch with you.
As part of our compliance with Data Protection and the General Data Protection Regulations any data you share with us will be processed according to Data Protection legislations and will only be used for service improvement. Your data will be joined to become part of your Health record and will be kept for 2 years before being removed.