We want to apologise for your poor 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 * Silverlock Medical Centre - SE16 3HA Queens Road Surgery - SE15 2PT Falmouth Road - SE1 4JW The Lister Practice - SE15 5LJ

When did your poor experience happen?

Start Date *

Start Time *

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End Date *

End Time *

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Service Area

Please let us know what area of our service you had a poor experience with * Appointments Prescriptions Medical Care Communications Staff Premises Other

What happened?

In your own words, please tell us what happened *

How should we improve things?

Please let us know how we can help prevent your poor experience from happening again. *

Would you like us to respond to your feedback?

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Contact

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

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