Modality Lewisham - Friends & Family Survey

Thinking about the appointment you have just had, please tell us how you feel by completing the following short survey:

Question Title

1. Practice name? (Required.)

Question Title

2. How much effort was made to help you understand your health issues? (Required.)

4 - Every effort was made.

3 - A lot of effort was made.

2 - Some effort was made.

1 - A little effort was made.

0 - No effort was made.

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3. How much effort was made to listen to the things that matter most to you about your health issues? (Required.)

4 - Every effort was made.

3 - A lot of effort was made.

2 - Some effort was made.

1 - A little effort was made.

0 - No effort was made.

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4. How likely are you to recommend the care you received to friends and family if they needed similar care or treatment? (Required.)

4 - Extremely Likely

3 - Likely

2 - Neither Likely or Unlikely

1 - Unlikely

0 - Very Unlikely

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5. Is there anything else you would like to tell us? (Required.)