Follow Up Patient Survey

Q1 Which of the following do you use to find information about the practice and the services provided. Please tick all that apply

 
 
 
 
 
 

Q2 Please tell me whether you are aware of the following:

That you can book appointments on line

 
 

The existance of the GP website

 
 

The GP practice opening hours

 
 

That you can ring the practice for test results

 
 

That phlebotomy (taking blood samples) is available at the surgery

 
 

Q3 Does the practice provide the range of health services you need

 
 

Q4 If the practice does not provide the range of services you need, please describe briefly what you think is missing

Q5 Please rank in order of importance the areas you view as priorities for the practice, where 1 is your first priority:

A Being able to book a GP appointment on line

B Making improvements to the premises

C Providing information about the practice

1st

 
 
 

2nd

 
 
 

3rd

 
 
 

Q6 From the priorities you listed in Q5, please describe what improvements you would like the practice to consider

Q7 Is there anything else other than those listed above that you think could be improved?

Q8 Is there anything that you think is particularly good about the service you receive at the practice or that you wouldn't want to be changed?

Q9 Overall, how would you describe you experience of your GP practice?

 
 
 
 

Q10 Any other comments?

ABOUT YOU:

The next few questions help us understand more about the local community and help us to respond more effectively to their needs. Please be assured that you can't be identified from this anonymous questionnaire and the information you have provided is for statistical purposes only.

QD1 Please indicate your gender

 
 

QD2 Which age group do you fall into?

 
 
 
 
 
 
 

QD3 Do you have any children under 16 years living at home?

 
 

QD4 Do you or anyone else in your household have any longstanding ilness, disability or infirmity?

 
 
 
 

LASTLY

Would you be interested in joining our Patients Reference Group (PRG)? Our volunteer Patient Participation Group (PPG) would seek your opinions from time to time on matters relating to the group practice. If applicable, please register your interest at reception.

WE WOULD LIKE TO THANK YOU FOR YOUR TIME IN COMPLETING THIS SURVEY