Medway Practices Alliance

info@medwaypracticesalliance.co.uk

FRIENDS AND FAMILY TEST

The purpose of this test is to give patients the opportunity to provide feedback on their experience that can be used to improve services. The test should take no more than a couple of minutes and we would be very grateful for your response.

1. Our Service

Overall how was your experience of our service?

Very good

Good

Neither good nor poor

Poor

Very poor

Don't know

2. Your Comments

Please can you tell us why you gave your answer?
Please tell us about anything that we could have done better

3. Your Gender

Male

Female

4. Your Age Group

Under 16

16 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 and over

5. Your Ethnicity

White British

White Other European

Black, Black/British

Chinese, Chinese/British

6. Your Employment Status

Full Time Employment

Part Time Employment

Not Employed

Retired

7. Your Preference

We may wish to publish the comments you have said above. If so, this will be done anonymously. Please tick the box if this is acceptable.

Send Your Request

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Patient Survey

How likely are you to recommend Medway Practices Alliance to friends and family if they needed similar care or treatment? Please spend 2 minutes to take the Friends and Family Test.