The Fryent Way Surgery

Questionnaire

Access to Fryent Way Surgery

Q1. When did you last try to contact the Fryent Way Surgery?

Q2. Last time you tried to get in touch with the Fryent Way surgery, was it;

Q2 a) If by phone, how easy was it to get through to someone at the Surgery?

Q2 b) What time of day did you experience the difficulty in getting through?

Surgery Opening Hours at Fryent Way Surgery

Q3) How satisfied are you with the hours that the Fryent Way Surgery is open?

Q3a) Which of the following additional opening times would make it easier for you to see or speak to someone?

Suggestion

Access to a GP at Fryent Way Surgery

Q4. When did you last see or speak to a GP at the Fryent Way Surgery?

Q5. How often do you get to see your preferred GP at the surgery?

Q5 a) How easy was it to book an appointment with them more than 2 days in advance?

Q5 b) If an appointment wasn’t available, what alternative were you offered?

Access to a practice nurse at Fryent Way Surgery

Q6. When did you last see or speak to a nurse from the Fryent Way Surgery?

Q7. How easy is it to book an appointment with the nurse?

Q7a) In case of non-emergency: if an appointment wasn’t available at your preferred time, what alternative were you offered?

Patient Experience

Q8. How often have you been seen at the Fryent Way Surgery in the last 12 months?

Q9. Did the doctor / nurse make you feel they cared?

Q10. Did the doctor / nurse treat you politely?

Q11. Did the doctor / nurse listen?

Q12. Was the information / advice given to you by the doctor / nurse easy to understand?

Q13. Did the doctor /Nurse involve you in the discussion / decision making (process) about your care?

Q14. (If you had the choice), would you see the same doctor / nurse again?

Overall feedback

Q15. Overall, how would you describe your experience of the Fryent Way Surgery?

Q16. Do you have any physical or personal needs that should be considered by Fryent Way Surgery when providing a service? e.g. due to a disability or particular religious belief).

Q16 a) Does the Fryent Way Surgery already make reasonable adjustments to cater for your need(s)?

Q16 b) Can the Surgery make any other adjustments to their services to cater for your needs?

Q17) Please use this section for further comments or suggestions

Some diversity questions about you

The following questions will help us to see how experiences vary between different groups of the population. We will keep your answers completely confidential.

Occupation

Q18. Which of these best describes what you are doing at present?

Q19. In general, how long does your journey take from home to work (door to door)?

Q20. If you need to see a GP at the Fryent Way surgery during your typical working day, can you take time away from work to do this?

Q21. Are you a parent or a legal guardian for any children aged under 16 living in your home?

Q22. Are you a deaf person who uses sign language?

Smoking

Q23. Which of the following best describes your smoking habits?

Alcohol consumption

Q24. Which of the following best describes your alcohol consumption habits?

Caring Responsibility

Q25. Do you look after, help or support family members, friends, neighbours or others because of either: long-term physical or mental ill health, or problems related to old age? (Not part of your paid employment)

Gender

Q26.

Age Groups

Q27.

Sexual Orientation

Q28. Which of the following best describe how you think of yourself?

Religion

Q29.Which, if any, of the following best describes your religion? (Groups include any denominations)

Ethnic Group

Q30.

A. White ethnic groups

B. Mixed or Multiple ethnic groups

C. Asian / Asian British ethnic groups

D. Black / African / Caribbean / Black British ethnic groups

E. Other ethnic groups

Languages

Q31. Is English your main language?

End.