Page 1 - Friends & Family Survey - Indigo Gender Service

Indigo Gender Service wants you to have the best possible care experience. The NHS Friends and Family Test is a way of gathering your feedback, so we can continually review our service.

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Which area of Greater Manchester do you live in?

When did you use the service?

Date:

Appointment Time:

Overall how was your experience of our service?

Very good

Good

Neither good nor poor

Poor

Very Poor

Don't know

Patient's age:

Under 16

16-30

31-45

46-60

61-75

Over 75

What is your ethnic group?

White

Mixed/multiple ethnic groups

Asian/Asian British

Black/African/Caribbean/Black British

Prefer not to say

Other (please specify):

This is required

What best describes your gender?

Woman (including trans woman)

Man (including trans man)

Non-binary

Prefer to self-describe

Prefer not to say

Comment:

This is required

Do you consider yourself to have a disability?

Yes

No

Are there any other comments you would like to make about the services you received today?

From time to time, we like to publish anonymous feedback from people who use our services to help promote the benefits of Indigo Gender Service and celebrate the work of our team. As such, please let us know if you give permission for Indigo to publish your anonymous feedback in our internal and external communications such as website, social media, newsletters, patient information and leaflets?

Yes

No