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How Satisfied Are You?

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

    Please choose from the following list:

    Extremely LikelyLikelyNeither Likely nor UnlikelyUnlikelyExtremely Unlikely

    Please give the reason for your answer?

    Which Best Describes You? Please choose from the following list:

    PatientCarerFamily MemberColleagueMember of Staff

    Are You Male or Female?

    MaleFemale

    How Old Are You?

    What is Your Ethnic Group?

    NoneWhiteMixed / Multiple Ethnic Group

    Please identify which Practice you attend:

    MWH Practice SouthallMWH Practice Hounslow

    Please click to submit your response

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