* 1. How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment?

* 2. How could we have improved your visit today?

* 3. Are you male or female?

* 4. How old are you?

* 5. What is your ethnic background?

* 6. Are your day to day activities limited because of a health problem or disability which has lasted 12 months or longer, or is expected to last at least 12 months? (including any issues or problems relating to your age)

* 7. Did you have support to fill in this questionnaire?

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