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
Please note - completing this additional information is optional but helpful in understanding the needs and experiences of individual patients. A little bit about you:
Are you?
Male
Female
Prefer not to say
Prefer to self describe
........................................
What age are you?
0-15
16-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Do you consider yourself to have a physical or mental health condition or disability?
Yes
No
Details:
............................................
Which of the following best describes your ethnic background?
White
British
Irish
Other white background
Asian or Asian British
Indian
Pakistani
Bangladeshi
Chinese
Other Asian background
Mixed
White and Black Caribbean
White and Black African
White and Asian
Other Mixed Background
Black or Black British
Caribbean
African
Other Black Background
Other
Anything else
I would rather not say
Are you?
The patient
The parent or carer
The patient and parent/carer
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