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AMG Friends and Family Survey
1.
Thinking about your recent visit to Alnwick Medical Group, overall, how was your experience of our service?
Very good
Good
Neither good nor poor
Poor
Very poor
Don't know
2.
Thinking about your response to question 1, please tell us why you feel that way.
3.
How likely are you to recommend our service to family and friends if they needed similar care or treatment?
Very likely
Likely
Somewhat likely
Neither likely nor unlikely
Somewhat unlikely
Unlikely
Very unlikely
4.
Please tell us how you made contact with us to book your appointment
Over the telephone
Online
At the reception desk
Other (please specify)
5.
Did everything go well when you contacted the practice to make your appointment
6.
Please let us know what you found positive about your experience
7.
Is there anything we could improve that would have made your experience better?
8.
Please tell us the date of your appointment.
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
9.
Please tell us your postcode
10.
Please tell us your age
0 - 19 years
20 - 59 years
60+ years
11.
All answers are anonymous, however, please tick this box if you DO NOT wish your comments to be made public
I DO NOT wish my comments to be made public
