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* 1. Thinking about your GP practice overall, how was your experience of our service?

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* 2. Please tell us about anything that we could have done better?

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* 3. Your response to Question 1 will be combined with all feedback provided by other patients and reported within the practice and shared with NHS England
If you do not want us to share your answer to the second question within the practice please tick the button below.

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* 4. Age

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* 5. Gender

You will not be not be identifiable in the feedback and it will not affect the care you receive
This form and the responses you give will not be linked to your personal record

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