Friends & Family Submission

Dear Patients,

Please use the below form to submit feedback to Village Surgery. As a surgery we appreciate any feedback that we receive and we want to learn and develop to continually improve our service .

Thank you

Village Surgery

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 needed similar care or treatment? *

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely Unlikely

Don’t know

Do you think the practice has improved in the last 12 months?

If you are human, leave this field blank.