FFT FEEDBACK FORM - L.L. MEDICAL CARE LTD (AGARWAL & AGRAWAL PRACTICE)

Thank you very much for your participation.

Please note that no medical information or questions will be responded to.
Everyone working for the NHS has a legal duty to keep information about you confidential.

We understand how important it is to keep your personal information safe and secure and we take this very seriously. We have taken steps to make sure your personal information is looked after in the best possible way and we review this regularly.

Please read our privacy notice (‘Privacy Notice’) carefully, as it contains important information about how we use the personal and healthcare information we collect on your behalf.

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* 1. How likely are you to recommend our service to friends and family if they needed simmilar care or treatment?

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* 2. What is the main reason for your answer to question 1?

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* 3. Are you?

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* 4. What is your birth year?

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

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

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* 7. Who was the main person who answered the questions?

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* 8. Do you wish you anonymous comments to be shared?

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