How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment?
Please delete as appropriate:
Extremely likely; Yes No
Likely ; Yes No
Neither likely nor unlikely; Yes No
Unlikely; Yes No
Extremely unlikely; Yes No
Don’t know Yes No
Please tell us the main reason for selecting your statement:
Name (optional)
Contact details (optional)
Are you a carer completing this on behalf of a patient? Yes No (delete as appropriate)
For further information on the NHS Friends and Family Test, please visit: www.england.nhs.uk