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Cervical Screening Questionnaire
Please complete the below questionnaire. Your answers may help us understand some of the barriers or concerns some women have when booking there smear test
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* Indicates required question
How old are you?
*
Your answer
Did you attend for a smear test when last invited?
*
Yes
No
If not, what is preventing you? (Tick / Comment all that apply)
*
Fear
Lack of Understanding
Difficult making an appointment
N/A
Other:
Required
What can we do as a GP Practice to encourage you to attend?
*
Your answer
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