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New Forest Central Medical Group, Brockenhurst and Sway

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The questions below are extremely helpful for New Forest Central Medical Group to try and provide the best possible service.

Please answer all the questions you feel able to.

For your response to be saved please click Submit at the bottom of the page.

Question 1.

We would like you to think about your recent experiences of our service. How likely are you to recommend our GP Practice to friends and family if they need similar care or treatment?

Extremely likely
Likely
Neither likely nor unlikely
Unlikely
Extremely unlikely
Don't know

Question 2.

Can you tell us why you gave that response?

Question 3.

What is your gender?

Male
Female

Question 4.

What age are you?

0 - 15
16 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85+

Question 5.

What is your ethnic group?

White
Mixed / Multiple ethnic groups
Asian / Asian British
Black / African / Carribean / Black British
Other ethnic group

Question 6.

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? (include any issues/problems related to old age)

Yes, limited a lot
Yes, limited a little
No
Prefer not to say