Friends & Family TEST

Thinking about your GP practice*
Overall, how was your experience of our service?
- Very good
- Good
- Neither good nor poor
- Poor
- Very poor
- Don't know
Please can you tell us why you gave your answer?*
Please can you tell us why you gave your answer?
Please tell us about anything that we could have done better*
Please tell us about anything that we could have done better
Privacy*
Your reply will be completely anonymous but we may wish to publish the comments you have made.
- Yes, my comments can be made public (they will always be anonymous)
- No, please keep my comments private
Consent*
Please note that no medical information or questions will be responded to. The data you supply on this form will be stored on our website, which is hosted by a third party, until it has been processed by the practice. The data will be used lawfully, in accordance with the Data Protection Act 2018, which gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly. The practice privacy policy can be viewed on this website.
I agree to the privacy policy.
Date*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.