THE NHS FRIENDS & FAMILY TEST

How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment? How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment? Extremely Likely Likely Neither Likely Or Unlikely Unlikely Extremely Unlikely Don't Know

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

Gender: Gender: Male Female

What age are you? What age are you? 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Do you consider yourself to have a disability? Do you consider yourself to have a disability? Yes No

If yes, please provide disability details:

Which of the following best describes your ethnic background?

White White White Irish Other white background

Asian or Asian British Asian or Asian British Indian Pakistani Bangladeshi Chinese Other asian background

Mixed Mixed White & black caribbean White & black african White & asian Other mixed background

Black or Black British Black or Black British Caribbean African Other black background

Other Other Anything else I would rather not say

Who are you? Who are you? The Patient The Parent or Carer The Patient and Parent/Carer

Thank you very much 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 the box below: Thank you very much 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 the box below: