Q1. In the past 6 months have you tried to see a Doctor fairly quickly? By fairly quickly we mean on the same day or in the next two weekdays that the GP or Surgery was open.
Q2. Thinking about the last time you tried to see a doctor fairly quickly, were you able to see a doctor on the same day or in the next two weekdays that the GP or Surgery was open?
Q3. If you weren’t able to be seen during the next 2 weekdays that the GP or Surgery was open, why was that?
Q4. Do you know that you can have a telephone triage appointment by which the Doctor will contact you on the day?
Q5 Missed appointments are a problem for the practice For your information are you aware that you can cancel an appointment online or by using or automated phone service? We also now operate a text message reminder service sent prior to your appointment.
Have you ever missed an appointment because?
Q6 Can you easily contact the practice when you wish to cancel an appointment?
Q7. How long after your appointment time do you normally wait to be seen?
Q8. Thinking about the last time you saw a Doctor did you have confidence in the Doctor you saw?
Q9 The last time you saw a Doctor at the surgery how good was the Doctor at each of the following? Giving you enough time?
Asking about your symptoms?
Listening?
Explaining tests and treatments?
Involving you in decisions about your care?
Treating you with care and concern?
Taking your problem seriously?
Q.10 How easy is it for you to get an appointment at the surgery with a Practice Nurse?
Q11 Last time you saw a Practice Nurse at the Surgery, how good did you find the Practice Nurse at each of the following?
Giving you enough time?
Taking your problems seriously?
Q12 How satisfied are you with the hours at the surgery? Please add further comments in the comment box at the end of the questionnaire.
Q13 As far as you know is the surgery open…Please choose from the answers below
Before 8 am?
At lunchtime?
After 6.30 pm?
On Saturdays?
On Sundays?
Q14 Would you like the surgery to open at additional times?
Q15 In general, how satisfied are you with the care you get at the Surgery?
Q16 Are you male or female?
Q17 How old are you?
Q18 If you are a car driver do you have difficulty finding parking facilities?
Q19 Do you have carer responsibilities for anyone in your household with a long-standing health problem or disability?
Q20 If you have limited mobility please add any relevant comments about accessing the surgery when you visited us.
Q21 What is your ethnic group?
A.
B.
C.
D.
E.
F.
Please add any further comments in the box below. Thank you for completing the survey. Your comments will be used to improve the service which the surgery provides.