Form

Chellaston Residents Association

Hightrees Surgery Survey

We want to hear your views on the proposed closure of the Manor Road surgery and the move to purpose built facilities at the northern end of Holmleigh Way, west Chellaston

I am registered at High Trees Medical Practice

Yes No

I am happy with the present facilities offered

Yes No

I would like a bigger practice

Yes No

I would like more parking spaces

Yes No

I am happy to go to Holmleigh Way to see a doctor

Yes No

I want High Trees surgery to remain in the centre of Chellaston

Yes No

If the practice moved I would want to move to a different practice

Yes No Don't know

Chellaston does not have enough doctors for its population

Yes No Don't know

I was aware that the practice was proposing to move

Yes No

If you answered 'yes' please tell us where you heard about it

I have been consulted previously about the move by the practice, or by Derby City Primary Care Trust

Yes No

If so, how did they consult you?

Please add your comments

First Name

Last Name*

E-mail

Address

Postcode*

Help us avoid automated spam by typing what you see in the box below*