New to Practice Programme Questionnaire - Kernow Health | Keeping General Practice at the heart of patient care

Name *

Phone number to be added to WhatsApp group

I agree to this contact number being added to this group for the purposes of communication throughout the programme

Please check to confirm

Email *

Start date on the programme

Availability for scheduled sessions and seminars *

Any other comments you would like to add on your availability

I would like to be included in facilitated peer group sessions

Yes

No

I currently have a GP mentor or supervisor in my practice that i meet with regularly

Yes

No

I would like to be matched with a GP mentor outside of my practice

Yes

No

I am interested in accessing some sessions with a qualified coach

Yes

No

I am interested in the following seminars as part of the programme

Any other comments or feedback to help us shape the programme