Friends & Family Test (copy)

How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment?

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

Don’t know

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

For further information on the Friends and Family Test, please visit www.england.nhs.uk