Waterloo Medical Centre - Friends and Family Test

Friends and Family Test

Thinking about your GP practice, overall, how was your experience of our service?

Very good

Good

Neither good nor poor

Poor

Very poor

Don’t know

Comments

Can you tell us why you gave that response?

Tick this box if you have provided comments and would not like them to be published

Additional Questions

Are you?

Age Group

To help us ensure our contact list is representative of our local community please indicate which of the following ethnic background you would closely identify with?

Privacy Protection

We use the information entered into this form only for the purposes of processing your Friends & Family Test submission. Information entered into this form is stored and accessed securely by designated Practice staff.

Issues raised in comments may be discussed between relevant members of the Practice. The information is used for quality monitoring purposes, in line with the expectations of the patients submitting the feedback.

The form does not require personal information. Any personal information transmitted via this form may be anonymised by the Practice when this is required to ensure compliance with General Data Protection Regulation.

All submissions are collated and sent to NHS England.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Waterloo Medical Centre • 178 Waterloo Road, Blackpool, FY4 3AD.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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