The NHS Friends and Family Test - How Did We Do?

Any information you provide will be treated confidentially and used anonymously

1. Page 1


1. Date


2. Which of our services have you used recently? *


3. We would like you to think about your recent experience of our service.

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


4. Can you tell us why you gave that response?


5. Are you happy for us to anonymously publish your comments?


6. If you would like us to contact you regarding your answers or comments, please add your contact details


7. Answers to the following questions ensure we can analyse responses from a cross section of our patients - Are You?


8. How old are you?


9. Our Patient Participation group meets quarterly, if you are interested in joining the group and having your say on new and existing initiatives concerning the care and service we provide, please leave your name and contact details below

Check out our survey templates or create your own.