Friends & Family Test (Kingfisher Family Practice) Friends & Family Test Question Title * 1. Evaluate the following statement(s) Extremely Likely Likely Neither Likely nor Unlikely Unlikely Extremely Unlikely Don't Know How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? Extremely Likely How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? Likely How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? Neither Likely nor Unlikely How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? Unlikely How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? Extremely Unlikely How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment? Don't Know Question Title * 2. If you could change one thing about your care or treatment to improve your experience, what would it be? Question Title * 3. Are you happy for any comments made in Q2 to be published anonymously? Yes, publish my comments No, don't publish my comments Not Applicable Question Title * 4. What is your gender? Female Male Question Title * 5. What is your age? 0 - 15 16 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 85> Question Title * 6. Do you consider yourself to have a disability? Yes No If Yes, please give details; Question Title * 7. Which of the following best describes your ethnic background? White - British White - Irish White - Other White Background Black/Black British - Caribbean Black/Black British - African Black/Black British - Other Black Background Asian/Asian British - Indian Asian/Asian British - Pakistani Asian/Asian British - Bangladeshi Asian/Asian British - Chinese Asian/Asian British - Other Asian Background Mixed - White & Black Caribbean Mixed - White & Black African Mixed - White & Asian Mixed - Other Mixed Background I'd prefer not to say Other (please specify) Question Title * 8. Your Relationship - Are you... The patient The parent or carer The patient and the parent/carer Other (please specify) Submit