Friends and Family Test
1) Are you:
*
The patient
The parent or carer
The patient and parent/carer
2) Thinking about your recent appointment, how was your experience of our service?
*
Very good
Good
Neither good nor poor
Poor
Very poor
Don't know
3) Please can you tell us why you gave your answer?
*
4) Please tell us about anything that we could have done better.
5) How likely are you to recommend us to friends and family if they needed similar care or treatment?
*
Extremely likely
Likely
Neither likely nor unlikely
Unlikely
Extremely unlikely
Don't know
6) Additional comments:
7) Please tick this box if you DO NOT wish your comments to be made public
Submit
Should be Empty: