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Cancer Awareness
Page 1 of 4
Closes
13 Jun 2024
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Introduction
1. What is your gender
(Required)
Male
Female
Rather not say
Other (please specify)
Please specify
2. Age range
(Required)
18-24
25-34
35-44
45-54
55-64
65+
3. When did you last see your GP? (This could be face to face, over the telephone or digitally) within the last...
(Required)
week
month
1-3 months
3-6 months
6-12 months
12-18 months
18-24 months
2 years +
4. Approximately, how often over the last 12 months have you been to see your GP? (this could be face to face, over the telephone or digitally)
(Required)
0
1
2
3
4
5
6
7
8
9
10
or more
How often over last 12 months
0
1
2
3
4
5
6
7
8
9
10
or more
5. Do you have any of these underlying health conditions?
(Required)
Asthma
COPD or lung condition that requires inhalers (not asthma)
Diabetes
Cancer
None of the above
Rather not say
6. Do you smoke or have you ever smoked cigarettes/tobacco?
(Required)
Yes
No
7. Please rate how easy it is to see your GP?
(Required)
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
8. If you couldn't get a GP appointment, which of these services would you be most likely to use? Please rank in order, 1 being the most likely to use and 5 being the least likely to use
(Required)
A & E
-- Please Select --
1
2
3
4
5
111 Telephone
-- Please Select --
1
2
3
4
5
111 Online
-- Please Select --
1
2
3
4
5
Trafford Urgent Care
-- Please Select --
1
2
3
4
5
Pharmacy
-- Please Select --
1
2
3
4
5
9. When you are concerned about your health, what reason would stop you from going to your GP?
Reason
(Required)
10. How much do you trust your GP to do their best for your health?
(Required)
I don't trust them at all
Neither trust them or distrust them
I trust them a little
I trust them a lot
Trust your GP to do their best
I don't trust them at all
Neither trust them or distrust them
I trust them a little
I trust them a lot
11. How much you trust the NHS to do their best for your health?
(Required)
I don't trust them at all
Neither trust or distrust
I trust them a little
I trust them a lot
NHS
I don't trust them at all
Neither trust or distrust
I trust them a little
I trust them a lot
Continue
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