Churchill Healthcare
Friends & Family Test (1)
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
If we could change one thing about your care or treatment to improve your experience, what would it be?
A little bit about you:
Are you?
Male
Female
What is your birth year?
Do you have a disability
Yes
no
Details
What is your Ethnic Background?
British
Irish
Other White background
Caribbean
African
Other Black background
Indian
Pakistani
Chinese
Other Asian background
White and Black Caribbean
White and Black African
White and Asian
Other Mixed background
Anything else
I would rather not say
Who was the main person who answered the questions?
me the patient
me, the parent/carer
Both the patient and the parent/carer
Thankyou for providing us with feedback to improve our services