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Easy Read FFT - Outpatient

1.Which hospital did you go to?
2.Which department / clinic did you visit?
3.Today's date is
Date
4.How was your experience in the department / clinic?
5.Anything else you want to tell us?
6.Can we share your comments anonymously?

Anonymous means we wont include your name or details.
7.My age is
8.Are your day-to-day activities limited due to a health problem or disability?
9.What is your gender?
10.Trans is a word used to describe someone whose gender is not the same as what they were assigned at birth.

Do you consider yourself to be a trans person?
11.What is your sexual orientation?
12.What is your ethnic group?
Current Progress,
0 of 12 answered