The NHS Friends and Family Test

The NHS Friends and Family Test

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* 1. "How likely are you to recommend our service to friends and family if they needed similar care or treatment?"

Please choose the appropriate statement below.

Extremely likely

Likely

Neither likely or unlikely

Unlikely

Extremely unlikely

Don't know

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* 2. Please tell us the main reason for selecting your statment.

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* 3. Optional

Name:

Email Address:

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* 4. Carer

Please tick if you are a carer completing this on behalf of a patient.

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* 5. For further information on The NHS Friends and Family Test, please visit www.england.nhs.uk