For patients who are due an annual asthma review.
Please would you answer the questions on the form below and submit it to us via itqa@nhs.net (this email address is just for returning the questionnaire) or print and send to us.
If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a doctor as well.
Click here to open the: Asthma annual review questionnaire
Anxiety
check out moodgym for self help and information relating to anxiety and stress problems
Depression
This easy to use patient questionnaire has been validated for use in Primary Care.
It is used by your doctor to monitor the severity of depression and response to treatment.
It can also be used to make a tentative diagnosis of depression.
PHQ-9 Depression Assessment Questionnaire
Alcohol Questionnaire
Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.
Alcohol Consumption Questionnaire
Information Leaflet on Long-Acting Reversible Contraception (LARC)
Do you want to reorder your contraception? Click here to order your repeat prescription online
Breast Awareness