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

* 2. We would like to know what works well or what we could do better?

* 3. Please indicate if you do not want your response to question 2 to be published on our website, twitter feed, facebook etc

* 4. Would you like to see a Comments and Suggestions box in reception?

* 5. What is your age group?

* 6. What is your gender?

* 7. What is your ethnicity?

* 8. Are you a carer?