The Primary Centre - Friends and Family Test

1 Friends and Family Test


3Additional Questions

Registered with Field Road Surgery (Dr Ahmed & Dr Saleem)?

The NHS Friends and Family Test is a way of gathering your feedback, so we can continually review our service. It is based on one simple question:

"How likely are you to recommend our GP practice to friends and family if they need similar care or treatment?"

Your feedback will help us learn more about what you think of your experience - what you like and what you think we could improve. Ultimately you're helping us to make changes that will ensure we can offer the best possible care.

If you'd prefer to give your comments anonymously, then please do so. If you do leave your contact details then we might get in touch, to talk to you about your feedback so we can better understand your views.

Please choose from list - 1 star = 'Not at all' 5 stars = 'Totally'
Please choose from list - 1 star = 'Not at all' 5 stars = 'Totally'
Please choose from list - 1 star = 'Not at all' 5 stars = 'Totally'
Please choose from list - 1 star = 'Not at all' 5 stars = 'Totally'
Please provide further details on your answers. Say what is great about the service and what you like. Please make constructive suggestions omn how we would improve to give even greater care.
Date of last appointment
Who is completing the survey
Please provide name & contact details if you are happy to discuss your feedback further.

Privacy Protection

We use the information entered into this form only for the purposes of processing your Friends & Family Test submission. Information entered into this form is stored and accessed securely by designated Practice staff.

Issues raised in comments may be discussed between relevant members of the Practice. The information is used for quality monitoring purposes, in line with the expectations of the patients submitting the feedback.

The form does not require personal information. Any personal information transmitted via this form may be anonymised by the Practice when this is required to ensure compliance with General Data Protection Regulation.

All submissions are collated and sent to NHS England.

This information is kept for as long as the site is active or it is deleted by a site administrator.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

Your Neighbourhood Professionals. Just a Click Away!
Field Road, Bloxwich, WS3 3JP
  • Telephone 01922 775 139
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Your Neighbourhood Professionals. Just a Click Away!
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