If you have been advised by the surgery to submit a COPD assessment please use this form.
This service is only available for currently registered patients – please register by completing our online New Patient Registration form if you are not already a patient with us.
This assessment will help us measure the impact of COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your score will be used by us to help improve the management of your COPD and get the greatest benefit from treatment.
All messages will receive an email response (to the input address) – please check your email address given and junk/spam folder if you do not receive a response.