How good was your doctor today at each of the following? (Please tick one box in each line)
Please decide how strongly you agree or disagree with the following statements by ticking one box in each line.
The next questions will provide the doctor with some basic information about who took part in the survey. If you are filling this
in on behalf of a child or a patient with a disability, please provide details about the patient.
What is your ethnic group? Please choose one section from a to e, and then tick the appropriate box to indicate your cultural background.