**Appendix A**

The Place Model: Survey

I would like to ascertain your views in relation to the Place Model. They will be anonymous and will be treated in confidence. Completion of this survey is voluntary and implies consent (please see Information Sheet provided).


(a) Please use an X to indicate where you perceive that you fit on the Place Model.

(b) Please use a 0 to indicate where you consider that optometrists are generally perceived to be placed on the Model (by the public) within the United Kingdom.

(c) Please explain briefly where you have placed yourself (X).

(d) Please explain briefly where you have placed optometrists in your UK (0).

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