Breathing Exercise Patient Group Session Questionnaire

 

It is now 1 month after attending the patient group education session on breathing exercises for anxiety. I would be very grateful if you could complete this short questionnaire which should take no more than 1-2 minutes. 


 

 

 

 

Last Updated: 10/08/2022

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • FEEDBACK

    I have been able to practice the breathing techniques on:
    Overall, I have found the breathing techniques / session useful for my anxiety self-management: yes/no
    A follow-up breathing session would be helpful?
    Expanding the breathing session to older adults would be useful?
    Regular breathing exercise sessions for anxiety or other conditions would be useful:
    Offering the breathing session to all practice patients would be useful?
    The session has improved my sense of community connection
    The session has improved trust in my local doctors / GP practice
    THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.
This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.