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
Can you tell us why you gave that response?
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Additional Questions
What gender are you?
Male
Female
What is your birth year? (e.g. 1956)
Do you consider yourself to have a disability?
Yes
No
Which of the following best describes your ethnic background?
White - British
White - Irish
White - Other Background
Black/Black British - Caribbean
Black/Black British - African
Black/Black British - Other Background
Asian/Asian British - Indian
Asian/Asian Britsh - Pakistani
Asian/Asian British - Bangladeshi
Asian/Asian British - Chinese
Asian/Asian British - Other Background
Mixed - White & Black Caribbean
Mixed - White & Black African
Mixed - White & Asian
Mixed - Other Background
Other - Any Other Background
Other - I would rather not say.
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