Friends & Family Test
Thinking about your GP practice overall, how was your experience of our service?
Very Good
Good
Neither Good Nor Poor
Poor
Very Poor
Don't Know
What is the main reason for your answer to the question?
Tick this box if you consent to us publishing your comment anonymously on our website.
Additional Questions
What is your Gender?
Male
Female
What is your birth year e.g. 1983
Do you consider yourself to have a disability?
Yes
No
Which of the following best describes your ethnic background?
White British
White Irish
Other white background
Black or Black British Caribbean
Black or Black British African
Other Black Background
Asian or Asian British Indian
Asian or Asian British Pakistani
Asian or Asian British Bangladeshi
Asian or Asian British Chinese
Other Asian Background
Mixed White and Black Caribbean
Mixed White and Black African
Mixed White and Asian
Other mixed background
Any other ethnic origin
I would rather not say
Who was the main person who answered the questions?
Me the patient
Me the parent or carer
Both the patient and the parent/carer
This form is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.