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* 1. Were you happy with your clinical consultation / patient experience with us today?

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* 2. Who did you see / speak to today?

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* 3. We would like you to think about your recent experiences of our service.
How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment?

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* 4. Is there anything else you would like to add about your patient experience with us today?

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* 5. If you would like to be contacted regarding your feedback please leave your name and email address below:

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