Marylebone
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Friends and family test
Friends and family test form
Friends and Family Test
Which service did you use today?
ABPM
ECG
Phlebotomy
Wound Care
Respiratory (asthma etc)
Diabetes
Mental Health
Warfarin*
Ring Pessary*Latent TB*
*Designated practices only
How easy was it to make your appointment?
Very Easy
Easy
Difficault
Very Difficault
Neither easy nor difficault
If No, please provide more information in the box below:
Thinking about your appointment today; overall, how was your experience of our service?
Very good
Good
Neither good nor poor
Poor
Very poor
Don’t know
Did you feel that you understood the treatment/health advice?
Yes, I completely understood it
Yes, I understood some of it
No, I did not understand it
Don’t know/can’t remember
How likely are you to recommend this 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
Did you feel that the staff providing the service were caring, competent and treated you with dignity?
Yes, definitely
No
Can you tell us why you gave that response?
If you are human, leave this field blank.
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