Gastroenterology Friends & Family Test

This is for patients of our gastroenterology service only.

Have you recently had a telephone, video or face to face consultation with one of our gastroenterology consultants?

If the answer to the previous question was 'no' please do not continue completing this form. This form is for patients of the gastroenterology service only

Overall, how was your experience of our service?

How likely are you to recommend our gastroenterology service to friends and family if they needed similar care or treatment?

Please tell us why you would / would not recommend us to your Friends and Family.

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

Privacy Protection

Information entered into survey forms is used only for the purposes of processing your survey information and is stored and accessed securely by designated staff.

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

Any personal information transmitted via survey forms may be anonymised when this is required to ensure compliance with General Data Protection Regulation.

This information is not shared with any external third party organisations.

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 Grange Medical Centre • Grange Medical Centre, Highfield Road, Hemsworth, WF9 4DP.

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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