FFT Patient Experience Survey


1. Are you? *


2. What age are you?


3. Which of the following best describes your ethnic background?


4. What best describes your sexuality?


5. Do you consider yourself to have a disability?


6. Are you?


7. Which service have you used?


8. What was the location of the service?


9. What date did you receive the service?


10. Overall how would you rate your experience of our service?


11. Please tell us why you ticked this box?