Friends & Family Test
You cannot take this test at this time
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
Can you tell us why you gave that response?
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Additional Questions
OPTIONAL QUESTIONS: If we could change one thing about your care or treatment to improve your experience at Willowbrook Medical Practice, what would it be?
Please tick Yes if you saw a GP
Yes
No
I would rather not say
Please tick Yes if you saw a Nurse
Yes
No
I would rather not say
Were you satisfied with the appointment you had today?
Yes
No
I would rather not say
If you answered No, please tick the appropriate statement:
Time not convenient
Not the GP of my choice
Other
I would rather not say
If you answered other, please tell us why below:
Please tick to indicate whether you are:
Male
Female
I would rather not say
And your age group:
0-16
17-25
26-35
36-45
46-65
66-75
76 and over
I would rather not say
Please tick Yes if you are a carer/guardian/parent completing this on behalf of the patient
Yes
No
I would rather not say
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