Q3. In the past 6 months, have you tried to see a doctor on the same day or in the next 2 days?
If you were not seen in the next 2 days, why was this?
Q4. How important is it for you to see a doctor:
On the day you phone?
In the next few days after you phone?
In the next few weeks/in advance?
Q5. How satisfied are you with the hours we are open?
Q6. Last time you saw a doctor or nurse, how good were they at treating you with care?
Q7. How easy is it for you to get an appointment with a nurse?
Q8. Have you used our triage service? (This is where a GP consults with you by phone)
If yes, do you think this is a good service?
Q9. Do you have any long-standing health problem, disability or infirmity? Please include anything that has troubled you over a period of time or that is likely to affect you over a period of time.
Q10. Do you have someone who acts as a carer for you in any way?
Q11. Do you act as a carer for someone else in any way?
Q12. Have you been seen in hospital out-patient clinic in the last year?
If yes, would you have preferred to have been seen here if that had been possible?
Q13. Do you use our prescriptions on line ordering service for your repeat prescriptions?
If yes, how do you rate it?
Q14. Do you use our website www.charnockhealth.nhs.uk ?
Q15. Are you happy for us to share your record with hospitals or emergency services if this could assist your treatment?
Q16. Do you think we need to improve our patient confidentiality? If so can you suggest areas where this improvement could be made?
Q17. In general, how satisfied are you with the care we provide?
Please help us by answering some questions about yourself
Q18. Are you Male or Female?
Q19.How old are you?
Q20. Which of these best describes what you are doing at present?
Q21. What is your ethnic group?