NHS Friends & Family Survey

Question Title

* 1. We would like you to think about your recent experience of our service. How likely are you to recommend our service 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. Thinking about your response to this question, please tell us why you feel this way.

Question Title

* 3. Is there anything that would have made your experience better?

Question Title

* 4. A Little Bit About You. Are you:

Male

Female

Prefer Not To Say

Question Title

* 5. What age are you?

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

Prefer Not To Say

Question Title

* 7. Which of the following best describes your ethnic background?

White British

White Irish

Other White Background

Asian Or Asian British - Indian

Asian Or Asian British - Pakistani

Asian Or Asian British - Bangladeshi

Asian Or Asian British - Chinese

Asian Or Asian British - Other Asian Background

Mixed - White and Black Caribbean

Mixed - White and Black African

Mixed - White and Asian

Other Mixed Background

Black Or Black British - Caribbean

Black Or Black British - African

Other Black Background

Other - Anything Else

I Would Rather Not Say

Question Title

* 8. Are you:

The Patient

The Parent or Carer

The Patient and Parent/Carer