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
What is your gender?
Male
Female
What age are you?
0-15
16-24
35-34
35-44
45-54
55-64
65-74
75-84
85+
What is your ethnic group?
White
Black/African/Caribbean/Black British
Asian/Asian British
Mixed/Multiple ethnic groups
Other ethnic group
Are your day-to-day activities limited because of a health problem or disability which has lasted, or expected to last, at least 12 months? (include any issues/problems related to old age)
Yes limited a lot
Yes limited a little
No
Prefer not to say
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