Friends & Family Test Friends and Family TestLet us know how we are doing Friends and Family Please leave your feedback on your appointment or any other related activities Is your feedback related to: Northiam Surgery Optional Broad Oak Surgery Optional Other (home visit etc.) Optional Overall, how was your experience of our service? OptionalVery GoodGoodNeither Good or PoorPoorVery PoorDon't KnowTo help us improve, could you tell us why you gave your answer Optional Were you involved in decisions made about your care and treatment? OptionalVery involvedInvolvedSomewhat involvedNot involvedTo help us improve, could you explain why you felt you did not feel involved in decsion making? Optional Was the surgery clean? OptionalVery CleanCleanNot very cleanDon't knowWere the receptionists helpful? OptionalVery helpfulHelpfulNot helpfulDon't KnowTo help us improve, could you explain why you gave your answer? Optional If you used our dispensary, were they helpful OptionalVery helpfulHelpfulNot helpfulDon't KnowTo help us improve, could you explain why you gave your answer Optional Is it easy to get an appointment (either by telephone and/or at the surgery)? OptionalVery EasyEasyNot EasyVery difficultDon't KnowWhat could we do better? Optional Do you have any conditions? OptionalI do not have a conditionA long-standing physical conditionA learning disability or additional learning needsA mental health conditionA neurodevelopmental condition (e.g. ADHD, autism)AsthmaBlind or a visual impairmentCancerChronic heart diseaseCOPDDeafness or hearing impairmentDiabetesEpilepsyHIVGender OptionalFemaleMaleOtherPrefer not to sayAge Optional18 or under18-3031-4041-5051-6061-7071-80Over 80Prefer not to say We are grateful to everyone who fills in a friend and family questionnaire.