Eastwood Primary Care Centre
Friends & Family Test
We would like you to think about your recent experiences of our service.
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 nor unlikely
Unlikely
Extremely unlikely
Don't know
Why have you given this response?
(Please enter the word "No" at the end of your text if you do not wish this to be published" (this would always be anonymously))
If we could change one thing about your care or treatment to improve your experience, what would it be?
What is your sex?
Male
Female
What age are you?
0 - 15
16 - 24
25 - -34
35 - -44
45 - -54
55 - 64
65 - 74
75 - 84
85+
What is your ethnic group?
White
Mixed / Multiple ethnic groups
asian / Asian British
Black / African / Caribbean / Black British
Other ethnic group
Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? (include any issues related to old age)
Yes, limited a lot
Yes, limited a little
No
Prefer not to say