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Friends & Family Test - Urgent care/Out of hours
gtd healthcare
wants you to have the best possible care experience. The NHS Friends and Family Test is a way of gathering your feedback, so we can continually review our service.
1.
Which of the following services did you receive?
Telephone advice
Treatment centre appointment
Home visit
Out-of-hours appointment at the urgent care centre via contact with NHS111
Walk-in to the urgent care centre
Deep Vein Thrombosis appointment
2.
What area do you live in?
Tameside & Glossop
Oldham
South Manchester
North Manchester
Central Manchester
Southport & Formby
South Sefton
Greater Preston
Chorley & South Ribble
3.
When did you use the service?
Date
Appointment Time
4.
Overall how was your experience of our service?
Very good
Good
Neither good or poor
Poor
Very poor
5.
What is your ethnic group?
White
Mixed/multiple ethnic groups
Asian/Asian British
Black/African/Caribbean/Black British
Other ethnic group
6.
Do you consider yourself to have a disability?
Yes
No
7.
Are there any other comments you would like to make about the services you received today?
8.
From time to time, we like to publish anonymous feedback from people who use our services to help promote the benefits of gtd healthcare and celebrate the work of our team. As such, please let us know if you give permission for gtd healthcare to publish your anonymous feedback in our internal and external communications such as website, social media, newsletters, patient information and leaflets?
Yes
No
9.
If you would like us to contact you in relation to this feedback, please complete the below:
Name
Address
Address 2
City/Town
ZIP/Postal Code
Date of Birth
Email Address
Daytime Contact Telephone Number
To request this information in an alternative format or language, please email gtd.governance@nhs.net
gtd healthcare
New Century House, Progress Way, off Windmill Lane, Denton, Manchester, M34 2GP.
www.gtdhealthcare.co.uk
