Friends & Family Test
Thinking about your GP practice overall, how was your experience of our service?
Very Good
Good
Neither Good Nor Poor
Poor
Very Poor
Don't Know
Can you tell us why you gave that response?
Tick this box if you consent to us publishing your comment anonymously on our website.
Additional Questions
What is your sex?
Male
Female
What age are you?
0-15
16-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
What is your ethnic group?
White
Mixed/ Multiple ethnic groups
Asian/ Asian British
Black/ African/ Caribbean/ Black British
Other ethnic group
Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? (include any issues/problems related to old age)
Yes limited a lot
Yes limited a little
No
Prefer not to say
This form is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.