GENERAL:
Q1. How easy do you find entering the surgery building? (Please tick box)
If you have answered 'not very easy' or find it difficult please tell us why.
Q2. Do you feel the surgery is maintained and kept clean? (Please tick box)
Q3. Have you any concerns about other people hearing what you say at reception? (Please tick box)
If you have answered 'yes' then please tell us why.
Q4. Do you find the booking in screen easy to use? (please tick box)
If no, please tell us why.
APPOINTMENTS:
Q1. How do you normally make your appointments? (Please tick box)
Please ask reception for details regarding on line or see our website.
Q2. How soon do you expect to see a GP for a non urgent appointment? (Please tick box)
EMERGENCY DOCTOR:
Q1. Are you able to see or speak on the telephone to a doctor if you want to discuss a health care issue that you felt was urgent for that day? (Please tick box)
Q2. Did you know that you could speak to a doctor on the telephone about an urgent problem on the same day? (Please tick box)
PATIENT EXPERIENCE:
Q1. How helpful do you find the Surgery? (Please tick box)
(a) Reception Staff:
(b) GPs:
(c) Nursing Team:
Q2. Were you listened to? (Please tick box)
(a) Reception Staff:
(b) GPs:
(c) Nursing Team:
[Q3. Emergencies may cause delays with your appointment. How long do you feel is acceptable to wait? (this may involve a number of staff e.g. patient collapsing, booking ambulances etc). (Please tick box)
PRACTICE SPECIFIC:
Q1. Do you know we have extended opening hours on some of the following: Monday a.m., Tuesday p.m. or Saturday mornings? (Please tick box)
(If no, please ask reception for details)
Q2. Do you know that we now provide a minor injuries service here? (Please tick box)
(e.g. sprains, bites, acute back pain and minor wounds)
Q3. Have you attended the hospital for any of the areas listed at Q2? (Please tick box)
Q4. Car Park: As you are aware there is limited parking at the surgery. We are keen to know your thoughts on this. (Please tick box)
Would you:
Q5. Do you have any other suggestions about car parking at the surgery?
Q6. What would you most like to change at the surgery to improve your care or the building or the facilities?
Q7. Would you recommend the surgery to family or friends? (Please tick box)
Q8. Please tell us what we do well
Q9. Did you know we have a Patient Participation Group (The Fountain Connections). You can be kept up-to-date with changes and information regarding the surgery. Please see our website www.fountainmedicalcentre.co.uk , notice boards in the surgery, PPG Newsletter or e-mail fountain.connections@gmail.com if you are interested.