Friends and Family Test - The Robert Darbishire Practice Question Title * 1. How likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment? Extremely likely Likely Neither likely nor unlikely Unlikely Extremely unlikely Don't know Question Title * 2. What was the main reason for your answer? Question Title * 3. What is your age? 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75+ Question Title * 4. Are you male or female? Male Female Question Title * 5. Which of these ethnic groups would you say you belong to? White Asian or British Asian Black or Black British Mixed Any other ethnic group (please specify below) Other (please specify) Question Title * 6. Who provided you with this form to fill out? Reception staff (White form) Online submission Nursing and Health Care Assistants (Blue form) GP's (Green form) None of the above Thank you for taking time to complete this survey. Done