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
What was good about your visit?
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Additional Questions
What would have made your visit better?
Male/Female
Male
Female
Age in years
Ethnicity
Employed / self-employed / stay at home / student
Employed
self-employed
stay at home
student
Please indicate the reason for your visit
consultation with doctor
consultation with nurse
collect prescription
Other
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