* 1. We would like you to think about your recent experience of our service. How likely are you to recommend our service to friends and family if they need similar care or treatment? (tick one box)

* 2. In addition, please rate how satisfied you are with the following … (tick one box in each row)

  Very satisfied Fairly Satisfied Neither Satisfied nor Dissatisfied Not Satisfied Very Unsatisfied Don’t Know
Phone answering
Customer care
Online services
Getting same day care, through our telephone call back system (Triage)
Having a named GP
Seeing your own GP
Nursing Services
Waiting time for your appointment on arrival
Other services e.g. midwife, alcohol/drugs, psychology, benefits
Some information about you...

* 3. Please state your Ethnicity

* 4. Are you

* 5. What age are you?

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

* 7. Are you?

* 8. Thank you for completing the survey and providing us with feedback to improve our services. If you do NOT wish us to share your anonymous comments, please tick the box below.