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Phlebotomy Survey - Test Page

Due to the current queueing times for patients attending to have their bloods taken, we are hoping to improve the experience by introducing appointments. We value patients feedback, so would be grateful if you could complete our short survey below.

All questions marked with * are mandatory and require a response. The form will not submit if these questions are not completed.

This form will take less than 5 minutes to complete.

Thin blue line to split page contents, runs full width of the page

Survey Form

Please tell us the area
in which you live?*

What is your
age group?*

How would you prefer to
access our Phlebotomy

Are you able access
the internet?*

How would you prefer
to make an appointment?*

If there are any additional comments you would like to make, please do so here;

Feedback Form