Luton Cancer Questionnaire
Luton Clinical Commissioning Group (CCG) is responsible for organising and purchasing NHS funded healthcare for the people of Luton. The CCG would like to understand why local residents are currently choosing to take part in cancer screening or not. We would appreciate it if you could spare a few minutes to complete this short questionnaire.
Patient information
What is your age? *
Your answer
What is your gender? *
Do you live in the borough of Luton? *
What is your employment status? *
Do you consider yourself to have a disability (physical or mental)? *
If yes, please state your disability in the space below
Your answer
Are you registered with a GP practice? *
If yes, which is your GP practice?
Your answer
Which best describes your ethnicity? *
What is the main language spoken at home? *
Your answer
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