If you would like to become a member of the Patient Reference group please click on the link on the right hand side of the home page.
Q1. How easy do you find getting into the building at the surgery?
Very easy Fairly easy Not very easy Not at all easy
Q2. How clean is the surgery?
Very clean Fairly clean Not very clean Not at all clean Don't know
Q3. How do you rate the public areas of the surgery? e.g decor/furnishings/lighting.
Very good condition Good condition Not very good condition In need of repair/replacement
Q4. Are there any additional facilities that you would like to see in our public areas?
Additional facilities/toys for children Access to online appointment booking Internet access for self help information More information for patients Any other facilities(please state)
Q5. Was your most recent contact with the surgery?
In person Over the telephone
Q6. Thinking about your last contact with the surgery how well do each of the following words describe the reception staff?
Patient Very well Fairly well Well Not very well Not well at all
Enthusiastic Very well Fairly Well Well Not very well Not well at all
Listened Carefully Very well Fairly Well Well Not very well Not well at all
Responsive Very well Fairly well Well Not very well Not well at all
Courteous Very well Fairly well Well Not very well Not well at all
Q7. Thinking about your last contact with the surgery, how satisfied where you with the following aspects of service from the reception staff?
Ability to answer questions/solve problems Very well Fairly well Well Not very well Not well at all
Amount of time required to answer questions/solve problems Very well Fairly well Well Not very well Not well at all
Professionalism of the person Very well Fairly well Well Not very well Not well at all
Overall, how satisfied where you with the customer service you received? Very satisfied Fairly satisfied Satisfied Not very satisfied Not at all satisfied
Q8. Do you have any suggestions for improving our reception service?
Q1. How satisfied are you with the opening hours of the surgery?
Q2. As far as you know the surgery is open..........
Q3. Would you like the surgery to be open at additional times?
Q1. Do you feel we provide clear information about all the services offered at the surgery?
Yes No
Q2. Do you read the information contained on our notice boards?
Yes No (please state why not)
Q3. Are there ways that the information we provide you with could be improved?
Q4. Could you suggest any other methods of communicating key information to patients?
In the past six months, how easy have you found the following?
Q1. Getting through on the phone
Q2. Speaking to a doctor/nurse on the phone
Q3. Getting test results over the phone
Q4. When telephoning the surgery how helpful do you find the automated messages?
Q5. Do you agree of disagree that the receptionist handled your call quickly?
Q1. How important is it to you to be able to book appointments in advance?
Q2. How easy is it to book in advance?
Q3. If you need to see a GP urgently, can you normally get an appointment on the same day?
Q4. Which of the following methods would you prefer to use to book/cancel appointments? (Please tick all boxes that apply)
Thinking of your most recent consultation with a doctor or nurse..
Q1.How long did you wait for your consultation to start?
Q2. How do you rate this?
Thinking about the questions you have answered above, the practice would, with your help, like to identify priority areas for them to consider this year. We would be grateful if you could indicate below your top three areas of priority.
To hep us analyse your answers please tell us a few things about yourself.
Are you male or female?
What age are you?
What is the ethnic background with which you most identify?
How would you describe how often you come to the practice?