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Friends and Family Test - Elmwood Family Doctors
This survey is an NHS requirement for providers of healthcare to seek regular feedback from service users. We would like to thank you for taking the time to complete this survey.
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1. Thinking about your GP practice, overall how was your experience of our service?
Very good
Good
Neither good nor bad
Poor
Very poor
Dont know
Clear selection
2. Please can you tell us why you gave your answer to question 1? Please do not use any identifiable information about yourself or another person
Your answer
3. Please tell us about anything that we could have done better.
Your answer
Please tick this box if you DO NOT wish your anonymised comments to be publicised
A little bit about you......
Are you?
Choose
Male
Female
Prefer not to say
Prefer to self describe
What age are you?
Choose
0 - 15
16 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85+
Which if the following best describes your ethnic background?
Choose
White British
White Irish
White - other background
Black - Caribbean
Black - African
Black - other background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - other background
Asian - Indian
Asian - Pakistani
Asian - Bangladeshi
Asian - Chinese
Asian - other background
Other
Prefer not to say
Do you consider yourself to have a physical or mental health condition or disability?
Yes
No
Clear selection
Are you?
The patient
The parent or carer
The patient and parent/carer
Clear selection
Thank you for providing us with feedback to improve our services
Submit
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