Patient Participation Group Registration

We would like to know how we can improve our service to you and how you perceive our surgery and staff.

To help us with this we continue to recruit members to the Patient Participation Group. Read further information regarding the PPG.

We need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups.

If you are interested in joining the Patient Participation Group please complete this form.

Title
Email
Date of Birth
The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.
Gender
Your Age
How would you describe how often you come to the practice?
This field is for validation purposes and should be left unchanged.