Indigo Gender Service Friends & Family Test

Indigo Gender Service 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.

Question Title

* 1. Which area of Greater Manchester do you live in?

Question Title

* 2. When did you use the service?

Date:

Appointment time:

Question Title

* 3. Overall how was your experience of our service?

Very good

Good

Neither good or poor

Poor

Very poor

Question Title

* 4. What is your ethnic group?

White

Mixed/multiple ethnic groups

Asian/Asian British

Black/African/Caribbean/Black British

Other ethnic group

Question Title

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

Yes

Question Title

* 6. Are there any other comments you would like to make about the services you received today?

Question Title

* 7. From time to time, we like to publish anonymous feedback from people who use our services to help promote the benefits of Indigo Gender Service and celebrate the work of our team. As such, please let us know if you give permission for Indigo to publish your anonymous feedback in our internal and external communications such as website, social media, newsletters, patient information and leaflets?

Yes

Question Title

* 8. 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

Indigo Gender Service
New Century House, Progress Way, off Windmill Lane, Denton, Manchester, M34 2GP.
Website: www.indigogenderservice.uk Twitter: @indigogender