#	Feedback questions (patient report feedback)
1	Please indicate the first 5 characters of the patient's encrypted NHS number
2	Please indicate which of the options below best describe this report. Tick box multiple answer questions  Reasonable possible diagnosis (advance for further evaluation)  Diagnosis has already been excluded  Patient has clear alternative diagnosis  Other (patient left study GP locality/unable to accurate identify patient)
3	Please indicate what action was or is planned to be taken by the GP. Tick box multiple answer questions  Reviewed patient's medical history  Added a note to review the patient on their next visit  Recalled the patient for additional history taking and/or physical examination (include details in the comments below)  Requested an additional test (include details in the comments below)  Referred the patient to a specialist/secondary care (include details in the comments below)  Discussed the patient with an expert (include the expert's name in the comments below)  No action taken (include details in the comments below) Other
4	In order for us to minimise the time it takes to review cases. Please indicate how long it has taken you to review this case and reach your decision  0–5 min  5–15 min  15–30 min  > 30 min
5	In order to ensure we constantly improve, please add any comments or remarks about how you have found the process. (e.g. Was it straightforward? Did you find it interesting? What could be improved?) (free text)