Wareham Surgery

Streche Road, Wareham, BH20 4PG

Telephone: 01929 553444

We're open

Latest News:

Vacancy: Clinical Pharmacist Vacancy: Medical Receptionist 15 hours per week Dorset’s Spring 2023 COVID-19 Vaccination Campaign RUOK? Mental Health support for young people in Dorset Lewis Manning Day Hospice at Swanage and Wareham Rugby Club Dr Mark Williams Use the right service Information for parents re coughs, colds and sore throats Poole and Bournemouth Hospital NEW Outpatient Portal Premises Update

COPD Questionnaire

  • This questionnaire will help you and your healthcare professional measure the impact COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your answers, and test score, can be used by your healthcare professional to help improve the management of your COPD and get the greatest benefit from treatment.

    For each item below, please rate between 0 and 5 which best describes you currently.

  • DD slash MM slash YYYY
  • Please enter a number from 0 to 5.
    0 = I never cough, 5 = I cough all the time
  • Please enter a number from 0 to 5.
    0 = I have no phlegm (mucus) In my chest at all, 5 = My chest is completely full of phlegm (mucus)
  • Please enter a number from 0 to 5.
    0 = My chest does not feel tight at all, 5 = My chest feels very tight
  • Please enter a number from 0 to 5.
    0 = When I walk up a hill or one flight of stairs I am not breathless, 5 = When I walk up a hill or one flight of stairs I am very breathless
  • Please enter a number from 0 to 5.
    0 = I am not limited doing any activities at home, 5 = I am very limited doing activities at home
  • Please enter a number from 0 to 5.
    0 = I am confident leaving my home despite my lung condition, 5 = I am not at all confident leaving my home because of my lung condition
  • Please enter a number from 0 to 5.
    0 = I sleep soundly, 5 = I don’t sleep soundly because of my lung condition
  • Please enter a number from 0 to 5.
    0 = I have lots of energy, 5 = I have no energy at all
  • This field is for validation purposes and should be left unchanged.

Youth Triage Form age 13-17

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Opening Times

  • Monday
    08:30 until 13:00
    14:00 until 18:30
  • Tuesday
    08:30 until 13:00
    14:00 until 18:30
  • Wednesday
    08:30 until 13:00
    14:00 until 18:30
  • Thursday
    08:30 until 13:00
    14:00 until 18:30
  • Friday
    08:30 until 13:00
    14:00 until 18:30
  • Saturday
    CLOSED
  • Sunday
    CLOSED

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Staff Login | Privacy Policy | Accessibility

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  • Advertising: Gather personally identifiable information such as name and location

This website will:

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  • Essential: Allow session cookies
  • Essential: Gather information you input into a contact forms, newsletter and other forms across all pages
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  • Essential: Authenticate that you are logged into your user account
  • Essential: Remember language version you selected
  • Functionality: Remember social media settings
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  • Analytics: Keep track of your visited pages and interaction taken
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This website will:

  • Essential: Remember your cookie permission setting
  • Essential: Allow session cookies
  • Essential: Gather information you input into a contact forms, newsletter and other forms across all pages
  • Essential: Keep track of what you input in a shopping cart
  • Essential: Authenticate that you are logged into your user account
  • Essential: Remember language version you selected
  • Functionality: Remember social media settings
  • Functionality: Remember selected region and country
  • Analytics: Keep track of your visited pages and interaction taken
  • Analytics: Keep track about your location and region based on your IP number
  • Analytics: Keep track of the time spent on each page
  • Analytics: Increase the data quality of the statistics functions
  • Advertising: Use information for tailored advertising with third parties
  • Advertising: Allow you to connect to social sitesl Advertising: Identify device you are using
  • Advertising: Gather personally identifiable information such as name and location

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