Priory Fields Surgery

01480 413600

Patient Feedback

Please fill in the form below to give us you patient feedback. Please be aware that if you wish to make a complaint do not use this form and use the correct email address.

Patient feedback

  • We welcome and appreciate any views or suggestions you may have regarding any aspect of our service, including our website. Please let us know about your experiences, both good and not so good.

    If you would like a personal response please complete the contact details. If you would prefer to keep your feedback anonymous we would still very much like to hear from you.

    Please ensure you complete the subject line marked with an * otherwise the form cannot be sent.

 

Friends and family test

  • Overall, how was your experience of our service?
  • Your reply will be completely anonymous but we may wish to publish the comments you have made. Please change the option below if this would NOT be ok.
  • Please note that no medical information or questions will be responded to. The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998.The Data Protection Act 1998 gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly.

  • This field is for validation purposes and should be left unchanged.