Friends & Family Test
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Thinking about your GP practice overall, how was your experience of our service?
Very Good
Good
Neither Good Nor Poor
Poor
Very Poor
Don't Know
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Additional Questions
Were you involved enough in decisions made about your care and treatment?
Not at all
Not really
Average
Some
Totally
Was the surgery clean?
Not at all
Not really
Average
Some
Totally
Were the receptionists helpful?
Not at all
Not really
Average
Some
Totally
Do you have any of the following long-standing conditions?
Deafness or severe hearing impairment
Blind or partially sighted
A long-standing physical condition
A learning disability
A mental health condition
A Long-standing illness (e.g. asthma COPD cancer HIV diabetes chronic heart disease or epilepsy)
I do not have a long-standing medical condition
My age is:
I am:
Male
Female
What is your ethnic group?
White
Mixed/Multiple Ethnic Groups
Asian/Asian British
Black/African/Caribbean/Black British
Other Ethnic Group
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