Dear Patient,
Many thanks for agreeing to take this short survey to help our practice understand how the surgery can be improved, if at all.
Please answer all of the questions and click 'Send Survey' when you are done.
Q1. Is the surgery currently open at times that are convenient to you?
Yes No Don’t know
Q2. Which of the following additional opening hours would make it easier for you to see or speak to someone? Please tick all boxes that apply.
Before 8am At lunchtime After 6.30pm On a Saturday
Q3. If you need to see a doctor urgently, can you normally get seen on the same day?
Yes No Don’t know / never needed to
Q4. How many days do you usually have to wait to see or speak to the doctor of your choice at the surgery?
Same day Next day 2-3 days 4-7 days 8 days or longer Don’t usually get to see/speak to the doctor of my choice
Q5. In the Reception Area, can other patients overhear what you say to the receptionist?
Yes, but don’t mind Yes and am not happy about it No, other patients can’t overhear Don’t know
Q6. How helpful do you find the receptionists at the surgery?
Very Fairly Not very Not at all
Q7. How clean is the surgery?
Very clean Fairly clean Not very clean Not at all clean Don’t know
Q8. Overall, how would you describe the surgery?
Excellent Very good Good Fair Poor Very poor
Do you have any comments or suggestions that could help to improve the service we offer?
To help 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?
Many thanks for your time in answering the questions on this survey.