Patient Participation Group Registration. Title Mr Mrs Miss Ms Mx Dr Other First NamesSurnameEmail Contact NumberPostcodeSignaturePlease include me in the Patient Participation Group. I agree to allow the group to use my contact details solely in connect with the role of the group. These details will be kept securely and treated as confidential. Date Optional MM slash DD slash YYYY The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.Gender Male Female Other Your Age Under 16 17-24 25-34 35-44 45-54 55-64 65-74 75-84 Over 84 How often do you come to the practice? Regularly Occasionally Very Rarely Information about the PPG. The members of the Patient Participation Group (PPG) are all patients of Woodlands Surgery. The PPG is a ‘virtual group’ The PPG supports the practice in such events as the annual survey, by encouraging patients to take part, it provides a sounding board for changes in services proposed by the Practice.
