Friend and family test Thank you for taking the time to fill in this survey. Your feedback will help us to improve the care we provide. OK Question Title * 1. Are you a: Service user Carer Visitor Friend OK Question Title * 2. Service/ward/area: OK Question Title * 3. Thinking about your recent experiences of our service/team, how likely are you to recommend our services/team to friends and family if they needed similar care or treatment? Extremely likely Likely Neither likely or unlikely Unlikely Extremely unlikely Don't know Can you tell us why you gave that response? OK Question Title * 4. What is your sex Male Female OK Question Title * 5. What age are you? 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ OK Question Title * 6. What is your ethnic group? White Mixed/multiple ethnic groups Asian/Asian British Black/African/Caribbean Other ethnic group OK Question Title * 7. Are your day to day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? Include any issues/problems related to old age) Yes, limited a lot Yes, limited a little No Prefer not to say OK Question Title * 8. Would you like your comments to be made public? Yes No OK DONE