Friends & Family Test
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How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment?
Extremely Likely
Likely
Neither Likely nor Unlikely
Unlikely
Extremely Unlikely
Don't Know
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Additional Questions
Is there anything else you would like to tell us about our services?
Please enter the date you visited the Practice:
DEMOGRAPHIC INFORMATION To hep us analyse your answers, please complete the following: Are you male or female?
Male
Female
What age are you?
Under 16
17-24
25-34
35-44
45-54
55-64
65-74
75-84
Over 84
What is the ethnic background with which you most identify?
White British
White Irish
Mixed White and Black Caribbean
Mixed White and Black African
Mixed White and Black Asian
Indian
Pakistani
Bangladeshi
Black Caribbean
Black African
Chinese
Other
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