This survey is now closed

Thank you for taking part in the Ashington House Surgery Survey 2011. Please can you complete the demographic information first and then we have 13 questions relating to a number of practice issues. There is also a box to add any additional comments. Please select relevant box

Section 1 - About You

Q1. Are you

 
 

Q2. What age are you?

 
 
 
 
 
 
 
 
 
 

Q3. Do you have children?

 
 
 

Q4. Are you a single parent?

 
 

Q5. Have you been in the HM Forces?

 
 

Q6. Do you have a disability

 
 

Q7. Are you...

 
 
 
 
 
 
 

Q8. Ethnicity. We are required to ask your ethnicity please decline if you do not wish to share this information.

 
 
 
 
 
 
 
 
 
 
 
 
 
 

Section 2 - Communication

Q1. When telephoning the surgery how easily do you get through?

 
 
 
 

Q2. When telephoning the surgery how well do you feel your needs are met?

 
 
 
 

Q3. If you use the website how satisfied are you with the it (e.g. does it provide you with all the information you require)?

 
 
 
 

Q4. How easy is the website to use?

 
 
 
 

Section 3 - Appointments

Q1. Which methods of communication would you be prefer to use or receive?

 
 
 
 

Q2. Would you prefer to be able to speak to a doctor or nurse without having to make an appointment?

 
 
 

Q3. Would you like a facility to be able to cancel appointments rather than having to ring and speak to a receptionist e.g. answer phone, text, email?

 
 
 

Q4. Would you consider booking appointments on line if this facility was available?

 
 
 

Q5. Do you know you can book a minor ailment appointment with our practice nurse or Pharmacist (they can prescribe medication)?

 
 

Section 4 - Prescriptions

Q1. Did you know that if you have regular medication you can order repeat prescriptions on line.

 
 

Q2. Would you like your prescription sent straight to the Pharmacy of your choice rather than collecting from the practice.

 
 
 

Section 5 - Environment

Q1. Is the surgery clean and tidy?

 
 
 

Q2. Are the signs and notices clear and easy to understand?

 
 
 

Q3. Do you find the self check in easy to use?

 
 
 

Finally........

What is your overall satisfaction with the practice

 
 
 
 

Are there any comments you wish to make? If you would like an answer to any specific comments, please let us have your name address and email.

This survey is now closed