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
Are you male or female?
Male
Female
What age are you?
0 to 15 years old
16 to 24 years old
25 to 34 years old
35 to 44 years old
45 to 54 years old
55 to 64 years old
65 to 74 years old
75 to 84 years old
85 years and older
Do you have a disability?
Yes
No
What is your ethnicity?
White - British
White - Irish
White - Other
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Asian or Asian British - Other Asian Background
Mixed White and Black Carribean
Mixed White and Black African
Mixed White and Asian
Mixed - Other Mixed Background
Black or Black British - Carribean
Black or Black British - African
Black or Black British - Other Black Background
Other - Anything else
I would rather not say
Are you...?
The patient
The parent or carer
The patient and parent/carer
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