Patient Participation Group Registration – Kintbury & Woolton Hill

Section

How would you describe how often you come to the practice?
Ethnic Background:
Age group:
Would you be willing to join our PPG (Patient Participation Group)?
Would you like to receive the minutes of our meetings via email?
Would you be interested in joining a ‘virtual’ PRG (Patient Representation Group), where you could contribute electronically?
Do you have a special interest in a particular medical condition?
Are there any issues you would like to see on the agenda?
Confirmation *