Minor Surgery Service Questionnaire

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Patient Information

You have been asked to fill in this questionnaire because you have been sent an appointment for the routine Minor Surgery Service at Northgate Medical Practice.

Your feedback is extremely valuable and would be greatly appreciated.

Your comments will help us to continue to develop and improve services so please try to complete this as fully as possible. This questionnaire will remain anonymous and your subsequent treatments will not be affected by your response.


It would help us to ensure that we have collected the views of all of our patients if you could provide us with the following information:

Waiting Time
Appointment Experience
After the Operation

Please contact your GP if you experience any kind of problems after your procedure, and we would be very grateful if you would report any issues that you have experienced to:

GP Surgeon, Northgate Medical Practice, 1 Northgate, Canterbury, Kent, CT1 1WL

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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