Young Person's Questionnaire

For ages 16 to 25

Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)

Thank you for taking the time to complete this survey.

Please be reassured that it is completely anonymous.
We value your input as a young person using our service and would welcome advice on how we can improve your experience at the end of the survey.

Initial Questions

Did you attend on you own?: *

Did you feel that your concerns were heard and your questions were answered by the clinician (ie doctor or nurse) ?: *

Processing

Making Appointments

If you need to make an appointment, who makes that appointment for you: *

If you do not make your own appointments, please could you explain why?: *

How do you prefer to make an appointment?: *

What type of appointment do you prefer?: *

Processing

Confidentiality

Did you know that seeing or speaking with anyone in the surgery is confidential?: *

All information given to the practice is confidential and we will not discuss your medical records with anyone without your permission.

Processing

Social Media

Visit our Teens and Young Adults Section on our website

Is the information on the website easy to find: *

Do you think there should be additional information?: *

Visit our Facebook page

What media platform would you prefer to use to access healthcare information: *

Processing

General Question

Processing

Privacy Consent

This form collects information about you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

Processing

There appears to be a problem loading the form, please refresh the page.
If the error persists please contact us.

CONTACT DETAILS

Budleigh Salterton Medical Centre
1 The Lawn
Budleigh Salterton, EX9 6LS

Enquiries: 01395 441 212
Out of Hours:111

Please note that all calls are recorded. A telephone call will only be retrieved and heard, should there be a clinical reason to do so for training purposes, or a complaint that requires investigation.

Opening Hours | SystmOnline | Contact Us

Young Person's Questionnaire

For ages 16 to 25

Thank you for taking the time to complete this survey.

Privacy Consent

CONTACT DETAILS

ONLINE FORMS

FEEDBACK

EXTENDED ACCESS

Functional Cookies

3rd Party Cookies