‌

League of Friends Your + Health Survey

Page 1

*
Question 1.

Please indicate to what extent you personally think it is important that each of the following services should be provided by the Milford Medical Centre by selecting one answer for each row.

- Required.
Pharmacy
Blood Tests Locally
Mental Health Clinics
Ear Clinics
Care Coordinators
Wound Clinics
Leg Ulcer Clinics
Better Balance Classes
Question 2.

What are YOUR HEALTH NEEDS not currently provided locally that you would ideally like to be added to health services provided by the Milford Medical Centre? If there are no additional services you would like added please type in 'None' or skip the question.

*
Question 3.

We would like to know about you so we can be sure we are receiving responses from a wide range of individuals, please help us by answering the following questions.

Are you

- Required.
*
Question 4.

Your age

- Required.
*
Question 5.

Do you consider yourself to have a disability?

- Required.
Please make sure you complete this survey by the 31st May 2022. Any surveys submitted after the 31st May unfortunately will not be counted.

Your information and responses to the survey will be anonymous as no personal information is available to us via the survey.