Feedback Form

Thank you for sharing your experience. We aim to deliver a high level of service, and your feedback helps us to improve. You can post anonymously if you wish, or leave your details if you would like us to respond to you.

Poor Experience

Select your practice *

Text

When did you last visit the practice/ speak to us via the phone or online?

Select date *

Service Area

Please select the service area *

Please specify

What was your experience with our service?

Please tell us your experience with the chosen service area, in as much detail as possible. *

How can we improve things?

What can we do to improve your experience in future? *

Would you like us to respond to your feedback?

Select YES if you wish to have a response to your feedback, and then provide your contact details below. If you wish to post anonymously, please select No. We will be unable to respond to your complaint if you select No. *

Yes

Contact

Your contact details (if you wish to have a response)

You must fill in all of the fields below if you wish to have a response, we will be unable to respond without all of the information below.

Title

Full name *

Please specify

Date of birth *

Home address *

Telephone Number *

How would you like us to contact you? *

reCAPTCHA

Text

We use secure, NHS approved software to provide video consultations safely and effectively for our patients.

Contact Us

Barking Group Practice

Feedback Form

Feedback form