Friends and Family Test - Practice Index HUB

1. Overall, how was your experience of our service?*

Very good

Good

Neither good or poor

Poor

Very poor

Don't know

2. Please can you tell us why you gave your answer?*

3. Please tell us about anything that we could have done better (optional)

4. Is there anything you would like to tell us about your experience of our service? (optional)

5. Would you like someone to contact you about your feedback?*

If yes, please add what contact details you'd like to contacted by here

Age group (optional)

Under 25yrs

Aged 25-65yrs

Over 65yrs

This information helps us understand whether our services meet the needs of all patients

Gender (optional)

Female

Male

Non-binary

Prefer not to say

We may publish some comments on our website to help show how patients feel about our service

Tick this box if you DO NOT consent to your comments being published

Comments will never include any identifying information.

The Village Surgery L37 4AW