Patient experience at the Neaman Practice

Please tell us about your patient experience at the Neaman Practice. Any issues raised or feedback will be discussed at our regular meetings with the Practice. If you wish to give us your name that will enable us to raise specific issues on your behalf, however if you wish to remain anonymous that is fine too. There is a tick box in the survey which will give your permission to raise issues with the Practice.

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* 1. Please let us know what your feedback relates to

Telephone system

Appointments

Confidentiality

Staff attitude

Other (please specify)

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* 2. Please tell us the feedback

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* 3. If you would like us to raise your feedback with the Practice please let us know your name, email address and contact telephone number

Name

Email Address

Phone Number

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* 4. Please let us know if you consent to us raising your feedback with the Practice

I consent and am happy for you to share my details with the Practice

I consent but wish to remain anonymous

I do not consent to you raising my feedback

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* 5. Let us know any other comments you have on the Practice or any other Health and Social Care service

Thank you for taking the time to complete our survey.