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* 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?

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* 2. Thinking about your response to this question, please tell us why you feel this way.

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

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

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* 5. What age are you?

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* 6. Do you consider yourself to have a disability?

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

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* 8. Are you:

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