Parkstone Health Centre

Friends and Family Questionnaire

Q1. How likely are you to recommend the Parkstone Health Centre to friends and family if they needed care or treatment?

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

Don't know

Please can you tell us the main reason for the answer you have given in question 1?

Q2. Are you male or female?

Male

Female

Q3. How old are you?

Under 18

18 - 24

25-34

35-44

45-54

55-64

65-74

75-84

85 and above

Q4. What is your ethnic group?

White - British

White - Irish

White - Other

Black or Black British - Caribbean

Black or Black British - African

Black or Black British - Other Black background

Asian or Asia British - Indian

Asian or Asia British - Pakistani

Asian or Asia British - Bangladeshi

Asian or Asia British - Other Asian background

Mixed - White & Black Caribbean

Mixed - White & Black African

Mixed - White & Asian Mixed - Other mixed background

Chinese

Other ethnic group