This survey is now closed

Dear Patient,

Thankyou for taking the time to complete this survey. Based on the information fed back to us by the representative patient group the most important issues which we should focus on and explore are clinical care and the building. We would really appreciate your thoughts on these areas and would be grateful if you would take a few moments to complete this survey. Please print it off and return it to the receptionists. It isn't currently possible to fill the questionnaire in online but we are working on this!

Section I- Clinical Care

A. SEEING A DOCTOR AT THE GP SURGERY

Q1. The last time you saw a Dr at the surgery how good was the Dr at each of the following? Please put a tick in one box for each row

Very

good

Good

Neither good nor poor

Poor

Very

poor

Doesn’t apply

a) Giving you enough time

O

O

O

O

O

O

b) Asking about your symptoms

O

O

O

O

O

O

c) Listening

O

O

O

O

O

O

d) Explaining tests and treatments

O

O

O

O

O

O

e) Involving you in decisions about your care

O

O

O

O

O

O

f) Treating you with care and

concern

O

O

O

O

O

O

g) Taking your problems seriously

O

O

O

O

O

O

Q2. Did you have confidence and trust in the doctor you saw?

Yes, definitely

O

Yes, to some extent

O

No, not at all

O

Don’t know/can’t say

O

B. SEEING A PRACTICE NURSE AT THE SURGERY

Q3. Last time you saw a practice nurse at the Surgery, how good did you find the practice nurse at each of the following? Please put a tick in one box for each row

Very

good

Good

Neither good nor poor

Poor

Very

poor

Doesn’t apply

i. Giving you enough time

O

O

O

O

O

O

ii. Asking about your symptoms

O

O

O

O

O

O

Listening

O

O

O

O

O

O

i. Explaining tests and treatments

O

O

O

O

O

O

ii. Involving you in decisions about your care

O

O

O

O

O

O

iii. Treating you with care and

concern

O

O

O

O

O

O

iv. Taking your problems seriously

O

O

O

O

O

O

Q4. Did you have confidence and trust in the nurse you saw?

Yes, definitely

O

Yes, to some extent

O

No, not at all

O

Don’t know/can’t say

O

C. YOUR OVERALL SATISFACTION

Q5. In general, how satisfied are you with the clinical care you get at the Surgery?

Very

O

Fairly

O

Neither satisfied nor dissatisfied

O

Quite dissatisfied

O

Very dissatisfied

O

Section II- Building Suitability

D. YOUR VIEWS OF YOUR SURGERY

Q6. In your opinion how easy or difficult would it be for people with disabilities to get into your GP surgery? (tick one box only)

Very easy

O

Fairly easy

O

Fairly difficult

O

Very difficult

O

Don’t know

O

Q7. In your opinion how easy or difficult would it be for people with disabilities to move around your GP surgery? (tick one box only)

Very easy

O

Fairly easy

O

Fairly difficult

O

Very difficult

O

Don’t know

O

Q8. In your opinion does the reception area provide a suitable degree of privacy? (tick one box only)

Yes

O

No

O

Don’t know

O

Q9. In your opinion do the consultation rooms provide a suitable degree of privacy? (tick one box only)

Yes

O

No

O

Don’t know

O

Q10. In your opinion are the waiting areas suitable? (tick one box only)

Yes

O

No

O

Don’t know

O

Q11. In your opinion does the layout of the practice constrain which health care professionals you consult? (tick one box only)

Yes

O

No

O

Don’t know

O

Q12. In your opinion is the building suitable for use as a general practice?

(tick one box only)

Yes

O

No

O

Don’t know

O

To help us analyse your answers please tell us a few things about yourself: Thank you

Are you male or female?

Male

O

Female

O

What age are you?

Under 16

O

17-24

O

25-34

O

35-44

O

45-54

O

55-64

O

65-74

O

75-84

O

Over 84

O

What is the ethnic background with which you most identify?

White British

O

White Irish

O

Mixed White and black Caribbean

O

Mixed White & Black African

O

Mixed White & Black Asian

O

Indian

O

Pakistani

O

Bangladeshi

O

Black Caribbean

O

Black African

O

Chinese

O

Other

O

How would you describe how often you come to the practice?

Regularly

O

Occasionally

O

Very Rarely

O

This survey is now closed