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Coventry Questionnaire


About you

About your education

About your health

About health information and advice

The next question asks about how you access health information and advice
Please tick all which apply to you

About Online Health Information and Advice

The next few questions ask about your use of online health information and advice.
Please tick all that apply
In my opinion online health information and advice

Your views about the proposed online self-assessment system.

This online system (available via the Student Health Centre website) would allow patients to anonymously self assess their need to seek care through responding to questions that are generated in response to the symptoms that you are experiencing.

Thank you so much for taking time to complete this questionnaire. If you wish to change your answers, please do so before submitting your questionnaire. By submitting your questionnaire you are consenting to take part in this research project. Once again, thank-you for sparing your time to complete and submit this questionnaire.
Privacy notice
This form is anonymous. No data which personally identifies you is collected on the form, and the data you provide is used solely for research purposes.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at

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