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* 1. I am a patient at

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* 2. If we were to offer bookable routine appointments outside our usual hours, when would you prefer to attend?

  Yes, I would prefer Maybe No, this would not be my preference
Monday to Friday early morning
Monday to Thursday evening
Friday evening
Saturday morning
Saturday afternoon
Sunday morning
Sunday afternoon

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* 3. Where would you prefer to be seen?

  Yes definitely Maybe I would prefer not
My own GP (or nurse) at my own surgery
Another GP (or nurse) at another local surgery
Another GP (or nurse) at another surgery in Wiltshire

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* 4. Which of the following categories best describes your employment status?

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* 5. What is your age?

T