Pharmacy survey

Date:

What is your home postcode? *

How did you travel here? *

E.g. car, bus (including route), walk, taxi, bike, mobility scooter

Did you previously use the pharmacy at New Collegiate Medical Centre? *

Yes

No

Where did you start your journey before coming to the surgery? *

E.g. home, nearby shops, nearby workplace

Do you have any difficulties accessing a pharmacy at present and, if so, why?

Tell us whether you accept cookies