Friends and Family Test

We want you to have the best possible experience of care. The NHS Friends and Family Test is a way of gathering your feedback, so we can continually review our service.

Your feedback will help us learn more about what you think of your experience – what you like and what you think we could improve. Ultimately, you’re helping us to make changes that will ensure we can offer the best possible care.

• How likely are you to recommend our Practice to friends and family if they needed similar care or treatment?

  	Extremely Likely	Likely	Neither	Unlikely	Extremely Unlikely	Don’t Know
  Answer

• Thinking about your response to this question, what is the main reason why you feel this way?

• A little bit about you:

• Are you?
  MaleFemaleN/A
• What Age are you?
  0-1516-2425-3435-4445-5455-6465-7475-8485+
• Do you consider yourself to have a disability?
  YesNo
• Which of the following best describes your ethnic background?
  Please Select White – British White – Irish White – Other Asian/Asian British – Indian Asian/Asian British – Pakistani Asian/Asian British – Bangladeshi Asian/Asian British – Chinese Asian/Asian British – Other Mixed – White and Black Caribbean Mixed – White and Black African Mixed – White and Asian Mixed – Other Black/Black British – Caribbean Black/Black British – African Black/Black British – Other Other – Anything Else Other – I would rather not say
• Are you:
  The PatientParent or CarerThe Patient and Parent/Carer
• Thank you for completing the card and providing us with feedback to improve our services.If you DO NOT wish your anonymous comments to be shared then please tick here:
• Submit
• Should be Empty: