Friends & Family Test

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* 1. We would like you to think about your recent experiences of our service.

How likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment?

Extremely likely

Likely

Neither likely or unlikely

Unlikely

Extremely Unlikely

Don't know

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* 2. Can you tell us why you answered the question in this way?

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* 3. Are you male or female?

Male

Female

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* 4. What is your age?

0 to 15

16 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 to 84

85 or older

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* 5. Do you consider yourself to have a disability?

Yes

Details

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* 6. What is your ethnicity? (Please select all that apply.)

White British

White Irish

Other White Background

Asian or Asian British Indian

Asian or Asian British Pakistani

Asian or Asian British Bangladeshi

Asian or Asian British Chinese

Other Asian Background

White and Black Caribbean

White and Black African

White and Asian

Other Mixed Background

Black or Black British Caribbean

Black or Black British African

Other Black background

Anything else

I would rather not say

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* 7. Are you?

the patient

the parent or carer

the patient and parent/carer

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* 8. Thank you for completing this survey and providing us with feedback to improve our services. If you DO NOT wish your anonymous comments to be shared then please tick below:

I do not wish my anonymous comments to be shared

Question Title

* 1. We would like you to think about your recent experiences of our service.How likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment?

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* 2. Can you tell us why you answered the question in this way?

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* 3. Are you male or female?

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* 4. What is your age?

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* 5. Do you consider yourself to have a disability?

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* 6. What is your ethnicity? (Please select all that apply.)

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* 7. Are you?

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* 8. Thank you for completing this survey and providing us with feedback to improve our services. If you DO NOT wish your anonymous comments to be shared then please tick below:

* 1. We would like you to think about your recent experiences of our service.

How likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment?