Health Van Ear Syringing Feedback Ear Syringing – Vincent Van-Cough Step 1 of 2 50% What practice are you registered with?Askern Medical PracticeASA Medical GroupBarnburgh SurgeryConisbrough Group PracticeConisbrough Medical PracticeDenaby Medical PracticeDon Valley HealthcareDunsville Medical CentreField Road SurgeryHatfield Health CentreMexborough Health CentreNorthfield SurgeryPark View SurgeryPetersgate Medical CentreScawsby Health CentreSt John's Group PracticeSt Vincent Medical CentreThe Burns PracticeThe Edlington PracticeThe Flying Scotsman Health CentreThe Great North Medical GroupThe Kingthorne Group PracticeThe Lakeside PracticeThe Mayflower Medical PracticeThe Medical CentreThe Mount Group PracticeThe Nayar PracticeThe New SurgeryThe Oakwood SurgeryThe Ransome PracticeThe Regent Square Group PracticeThe Rossington PracticeThe Scott PracticeThorne Moor Medical PracticeTickhill and Colliery Medical PracticeWest End ClinicWhite House Farm Medical CentreAge 24-34 35-44 45-54 55-64 65 or Above Prefer Not to Answer Ethnicity Asian or Asian British Black, Black British, Caribbean or African Mixed or multiple ethnic groups Gypsy, Traveller or Roma Community White Other ethnic group Prefer Not to Answer This field is hidden when viewing the formWhich location did you visit? Lakeside Shopping Outlet Optional Cavendish Court Optional Bullcroft Memorial Hall Optional Dearne Valley Leisure Centre Optional Which location did you visit?Did you have ear syringing on the van today? Yes No If yes, how far in advance did you make the appointment? I didn’t book just a walk-on 2-3 days before via my GP Practice 3-5 days before via my GP Practice More than a week before via my GP Practice If no please skip to ‘if no’If yes, how would you rate your experience on our Health Van? Very Satisfied Optional Satisfied Optional Neutral Optional Unsatisfied Optional Very Unsatisfied Optional What made you choose to have ear syringing on our Health Van? More convenient for me Optional There were no appointments with my normal Practice Optional I was offered the appointment by my Practice Optional No smear test before Optional Other Optional If no, why did you decide not to have ear syringing on the van? OptionalHow did you hear about our service? Social Media – Facebook, Twitter, Instagram Primary Care Doncaster Website My GP Practice Doncaster Council Other Any further comments?
