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 a smoker?
Yes
No
If you are a smoker, have you been advised to STOP smoking?
Yes
No
If you are a smoker and you are over 40 years of age, would you like to take a lung function test to diagnose Chronic Obstructive Pulmonary Disease?
Yes
No
if 'YES' - Will you please contact the reception staff at the surgery?
Yes
No
About your recent visit to see the nurse, can you please give us your opinion for the following questions? Please give your comments -Thank you
a. Are you satisfied with nurse appointments?
Extremely satisfied
Satisfied
Neither satisfied nor unsatisfied
Unsatisfied
Extremely unsatisfied
Don't Know
Is your nurse giving you enough time?
Extremely satisfied
Satisfied
Neither satisfied nor unsatisfied
Unsatisfied
Extremely unsatisfied
Don't Know
Is your nurse listening to you?
Extremely satisfied
Satisfied
Neither satisfied nor unsatisfied
Unsatisfied
Extremely unsatisfied
Don't Know
d. Is your nurse explaining tests and treatments?
Extremely satisfied
Satisfied
Neither satisfied nor unsatisfied
Unsatisfied
Extremely unsatisfied
Don't Know
e. Is your nurse treating you with care and concern?
Extremely satisfied
Satisfied
Neither satisfied nor unsatisfied
Unsatisfied
Extremely unsatisfied
Don't Know
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