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* 1. Gender

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* 2. Age

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* 6. How did you attend your most recent appointment?

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* 7. What is your preferred option for attending appointments?

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* 8. Would you use an online booking service? 

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* 12. If we opened a Saturday morning clinic would you use this service?

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* 13. Would you prefer if this clinic also offered contraception? (*Female only*)

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* 16. How would you rate the service based on the following areas?

  Poor Fair Good  Very Good
Telephone access 
Length of time you waited to be seen
Ease of finding the clinic
Overall experience of the clinic

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* 17. Please rate the service based on your experience with staff

  Yes No
Did the people who dealt with you - Introduce themselves?
Did the people who dealt with you - Listen to your concerns?
Did the people who dealt with you - Take enough time with you?
Did the people who dealt with you - Answer any questions you asked?
Did the people who dealt with you - Explain your examination to you?
Did the people who dealt with you - Provide useful sexual health advice?
Did the people who dealt with you - Explain lifestyle factors and their impact on your sexual health?
Was your privacy and dignity maintained?
Were reception and clinical staff friendly, helpful and supportive to you?

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* 18. Please provide any additional comments/suggestions you may have

Thank you for taking the time to complete this survey

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