Merger consultation

Your practice
Which GP surgery are you currently registered with?*
Your feedback
If the practices did merge you would be automatically registered with the new merged practice, or you could choose to register with a different GP practice. Would you continue to use this practice or move to an alternative practice?*
Your details
Please tell us the first part of your postcode (e.g S3, S5)*
What is your sex?
Is your gender identity different now to the sex you were assumed at birth?
What is your age?
What is your sexual orientation?
What is your ethnic background?
Do you consider yourself to belong to any religion?
Do you have a disability, impairment or condition? ( Tick all that apply)
Do you provide care for someone else? Such as family, friends or others who are ill, disabled or need support because they are older