The NHS Friends & Family Test Question Title * 1. We would like you to think about your recent experience of our service.How likely are you to recommend our dental practice to friends & family, if they needed similar care or treatment? Extremely likely Likely Neither likely or unlikely Unlikely Extremely likely Don't know Question Title * 2. Thinking about your response to this question, what is the main reason why you feel this way? A little bit about you.... Question Title * 3. Are you male or female? Male Female Question Title * 4. What age are you? 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Question Title * 5. Do you consider yourself to have a disability? Yes No Question Title * 6. Which of the following best describes your ethnic background? White - British White - Irish White - Other background Black or Black British - Caribbean Black or Black British - African Black or Black British - Other Black background Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Chinese Asian or Asian British - Other Asian background Mixed - White & Black Caribbean Mixed - White & Black African Mixed - White & Asian Mixed - Other Mixed background Other Question Title * 7. Are you? The patient The parent or carer of patient The patient & parent/carer Thank you for taking the time to complete this survey & to help improve our services. Done