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Subject *FeedbackSuggestionsJoin the PPGFriends and familyComplaints

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Friends and Family

We would like you to think about your recent experiences of our service. *Extremely LikelyLikelyNeither likely nor unlikelyUnlikelyExtremely unlikelyDon’t knowHow likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment?

What are your main reasons for choosing the option above? *

Please let us know if you DO NOT wish your comments to be made public *I am happy for my comments to be made publicI do NOT wish for my comments to be made public

Are you able to get through to the surgery by telephone?AlwaysUsuallySometimesRarelyNever

Are you able to get an appointment when you want one?AlwaysUsuallySometimesRarelyNever

Do the staff treat you with dignity and respect?AlwaysUsuallySometimesRarelyNever

Does the surgery involve you in decisions about your care and treatment?AlwaysUsuallySometimesRarelyNever

Does the GP practice provide accurate and up to date information on services and opening hours?AlwaysUsuallySometimesRarelyNever

The following questions will allow us to analyse and compare responses from different backgrounds within our Practice population. Are you male or female?MaleFemale

Which of the following age groups do you fall into?16 or under17 to 2425 to 3435 to 4445 to 5455 to 6465 to 7475 to 8485 to 8990+

Which group best describes your ethnicity?White BritishWhite IrishBlack BritishCaribbeanAfricanIndian or British IndianArab or British ArabPakistani or British PakistaniBangladeshi or British BangladeshiSri Lankan or British Sri LankanChinese or British ChineseOther British AsianMixed BritishPolishAfghaniSomaliRomanian

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Welbeck Road

Eastcote Lane