Friends and Family Test

Bolton Community Practice
Friends and Family Test
* Required
Surgery*

LadybridgeAstley daleLittele LeverMarket
1) We would like you to think about your recent experiences of our service. How likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment? *

Extremely likelyUnlikelyLikelyExtremely unlikelyNeither likely nor unlikelyDon't know
2) Why? Please comment (optional)
3) My age is:*

16-1819-2425-3536-4546-6565+
4) I am*

FemaleMale
Thank you for taking time to complete this survey
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