I had a poor experience I had a poor experience 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 the hub you wish to feedback about * Somers Town Medical Centre - NW1 1HY Brondesbury Medical Centre - NW6 7JQ When did your poor experience happen? Start Date * End Date Start Time 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM End Time 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM 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? If you wish to post anonymously, please select No. If you wish to have a response, please select Yes, and then provide your contact details. * Yes No 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 * Name * Email (Optional) Home Address * Date of Birth * How would you like us to contact you? * Email Letter Telephone If you are human, leave this field blank.