Please help us to ensure we continue to meet the needs of our patients. We would like you to think about your recent experiences of our service/team.

* 2. Please tell us who you are?

* 3. Which service/team did you see today?

* 4. Which doctors surgery do you belong to?

* 5. I am happy for my comments to be made public

Please do not include any personal information. To talk to someone about your experience please contact PALS tel: 0800 819 9030