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Friends and Family Test
We would like you to think about your recent experience of our service. How likely are you to recomend our service to friends and family if they needed similar care or treatment?
Extremely Likely
Likely
Neither likely or unlikely
Unlikely
Extremely Unlikely
Don't Know
What is the main reason for your answer to the question?
Are you:
Male
Female
What is your birth year?
Do you consider yourself to have a disability?
Yes
No
Disability Details
Which of the following best describes your ethnic background?
British
Irish
Other White Background
Carribbean
African
Other Black Background
Indian
Pakistani
Bangladeshi
Chinese
Other Asian Background
White and Black Caribbean
White and Black African
White and Asian
Other Mixed Background
Other
I would rather not say
Who was the main person who answered the questions?
Me the patient
Me, the parent or carer
Both the patient and the parent or carer
If you wish your anonymous comments NOT to be shared then please tick here
Do not share
We would like to thank you for providing us with feedback to improve our services.
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