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
Can you tell us why you gave that response?
Tick this box if you consent to us publishing your comment anonymously on our website.
Additional Questions
What is your age?
0 - 15 years of age
16 - 25 years of age
26 - 35 years of age
36 - 45 years of age
46 - 55 years of age
56 - 65 years of age
66 - 75 years of age
76 - 85 years of age
Over 85 years of age
What is your ethnic group
White British
White Irish
White Eastern European
Gypsy / Roma / Traveller
Mixed White and Black Caribbean
Mixed White and Black African
Mixed White and Asian
Asian / Asian British Indian
Asian / Asian British Pakistani
Asian / Asian British Chinese
Black or Black British Caribbean
Black or Black British African
Other ethnic Group
Prefer not to say
Do you consider yourself to have a physical or mental health condition or disability?
Yes
No
Please give additional details
Are you?
A patient of Loxwood Medical Practice
The parent of a patient
The carer of a patient
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