YOUR SURGERY - YOUR EXPERIENCE - YOUR CARE
Your patient group would be grateful if you would complete this survey about your surgery, and the care that you recieve. Your doctors and staff want to provide the highest standard of care, we want you to have the best possible experience at the surgery. Feedback from this survey will help us identify areas that may need improvement, as well as letting us know what we do well. Your opinions are very valuable and important to us.
PRIZE DRAW
All Surveys will be entered into a prize draw to be announced early April with a chance to win shopping vouchers and wine.
If you would like to be entered into the draw, please put your name and telephone number below.
WE WILL ENTER THESE DETAILS SEPARATELY FROM THE SURVEY, SO THAT YOUR QUESTIONNAIRE REMAINS ANONYMOUS IN THE SURVEY FINDINGS.
THANK YOU FOR YOUR TIME AND EFFORT IN SUPPORTING YOUR SURGERY
NAM E: _______________________________________
TEL NUMBER;__________________________________
THE SURVEY
Please answer ALL the questions that apply to you. There are no right or wrong answers and your doctor will NOT be able to identify your individual answers.
Thank you.
About Receptionists, Customer Services, Environment and Appointments
Q1 How helpful, friendly and professional do you find the receptionists at your GP practice?
Q2 How easy is it to get through to someone at your GP practice on the phone? (Please (remember 9 till 12am are our busiest phone times, we do have a digital queuing phone system that allows you to queue with updates rather than having to call back)
Q3 How easy is it to speak to a doctor or nurse on the phone at your GP practice? (Remember due to clinics and visits, it is reasonable for a clinician to call you back, so please consider this when answering this question)
Q4 If you need to see a GP urgently, can you normally get seen on the same day? (Remember, we have an open clinic with 2 GPs daily Monday to Friday where you are guaranteed to be seen the same day if you arrive between 9am and 10am)
Q5 How important is it to you to be able to book appointments ahead of time in your practice?
Q6 How easy is it to book ahead in your practice? (The surgery releases Nurse appointments up to two months and GP appointments 6 weeks in advance)
Q7 How do you normally book your appointments at your practice? Please tick all boxes that apply.
Q8 Which of the following methods would you prefer to use to book appointments at your practice? Please tick all boxes that apply.
Thinking of times when you want to see a particular doctor
Q9 How quickly do you usually get seen for pre-booked non urgent appointments ? (Remember, we have an open clinic with 2 GPs daily Monday to Friday where you are guaranteed to be seen the same day for urgent appointments if you arrive between 9am and 10am)
Q10 How do you rate this?
Q11 How do you rate the facilities, environment, hygiene? (Think about your experience from entering to leaving; include building, ambiance, and generally being comfortable throughout your visit)
(Please enter any comments you would like to make at the end of the survey)
Q12 How do you rate the communication and information services? (Think about communication on the phone, by letter, email, web site and verbal, also, information displayed in the practice, in our information leaflets and given to you from your clinicians about the range of services and options available to you)
(Please enter any comments you would like to make at the end of the survey)
Q13 If you have a disability, How do you rate the levels of support and access to facilities and services in the surgery? (If you do not have a disability, please go to question 14) (Think about entering the premises, getting around the surgery and support if required)
(Please enter any comments you would like to make at the end of the survey)
Thinking of times when you are willing to see any doctor
Q14 How quickly do you usually get seen? (Remember, we have an open clinic with 2 GPs daily Monday to Friday where you are guaranteed to be seen the same day for urgent appointments if you arrive between 9am and 10am)
Q15 How do you rate this?
Thinking of your most recent consultation with a doctor or nurse
Q16 How long did you wait for your consultation to start? (Please consider that your actual wait is from the appointment time allocated and NOT the time you attended for your surgery)
Q17 How do you rate this?
About opening times
Q18 Is your GP practice currently open at times that are convenient to you?
Q19 Which of the following additional opening hours would make it easier for you to see or speak to someone? Please tick all boxes that apply.
About seeing the doctor of your choice
Q20 Is there a particular GP you usually prefer to see or speak to?
Q21 How often do you see or speak to the GP you prefer?
How good was the last GP you saw at each of the following?
(If you haven’t seen a GP in your practice in the last 6 months, please go to Q27)
Q22 Giving you enough time
Q23 Listening to you
Q24 Explaining tests and treatments
Q25 Involving you in decisions about your care
Q26 Treating you with care and concern
Q27 Did you have confidence and trust in the GP you saw or spoke to?
If you know the name of the GP you last saw, please write it here:
How good was the last nurse you saw at each of the following?
(If you haven’t seen a nurse in your practice in the last 6 months, please go to Q33)
Q28 Giving you enough time
Q29 Listening to you
Q30 Explaining tests and treatments
Q31 Involving you in decisions about your care
Q32 Treating you with care and concern
Q33 Did you have confidence and trust in the nurse you saw or spoke to?
If you know the name of the nurse you last saw, please write it here:
Thinking about the care you get from your doctors and nurses overall, how well does the practice help you to:
Q34 Understand your health problems?
Q35 Cope with your health problems
Q36 Keep yourself healthy
Q37 Overall, how would you describe your experience of your GP surgery?
Q38 Would you recommend your GP surgery to someone who has just moved to your local area?
It will help us to understand your answers if you could tell us a little about yourself
Q39 Are you?
Q40 How old are you?
Q41 Do you have a long-standing health condition?
Q42 What is your ethnic group?
Q43 Which of the following best describes you?
Finally, please add any other comments you would like to make about your GP practice: