Feedback for the Practice

We appreciate any feedback about the service we provide. Please complete the form below for any comments or suggestions.

This form should not be used for complaints. If you have a complaint contact the practice for the complaints procedure.

You can complete the form below anonymously, but please ensure that you provide your details if you would be happy for us to contact you.

Please select the practice location most relevant to this Online Form submission:

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Your Details

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Your Contact Details

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Feedback

Your comment or suggestion

Overall, how was your experience of our service?

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How can we improve?

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All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any 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 Longford Primary Care Centre - Dr Haider & Partners • Longford Road, Longford, Coventry, West Midlands, CV6 6DR.

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