We would be grateful if you would complete this survey about your general practice. Your doctors want to provide the highest standard of care. Feedback from this survey will help them to identify areas that may need improvement. Your opinions are very valuable.

Please answer ALL the questions that apply to you. There are no right or wrong answers and your doctor will NOT be able to identify your individual answers unless you complete the contact section below.

Thank you.

Appointments

If you need to be seen urgently we will try our best to give you an appointment on the same day. This appointment might not be with your regular doctor. If you need a non-urgent appointment we will try our best to give you an appointment within one week of your call.

Considering this appointment system, please tell us how much you agree with the folloing statements.

Q1 If I need an urgent appointment I am usually seen the same day?

Q2 If I need an non-urgent appointment I am usually seen within one week?

Q3 I am happy with the current appointment system?

Q4 How important do you think it is to keep your appointment?

Q5 What steps do you think the practice should take against patients persistently missing their appointments?

Opening Times

We appreciate that many patients need flexible opening times. Our current opening times are:

Considering our opening times, please tell us how much you agree with the following statements.

Q6 The practice is open at times when I can attend an appointment?

Q7 I am happy with the current opening times?

Our Surgery

We want to make your visit to the surgery as pleasant as possible. Please tell us how much you agree with the following statements.

Q8 The practice is easy to get to?

Q9 The reception staff are friendly and approachable?

Q10 The practice is clean and tidy?

Q11 You are able to get through to the practice on the phone easily?

Q12 You are able to talk to a doctor on the phone?

Q13 I am confident that the doctor and staff will keep information about me confidential?

Q14 I am confident that the doctor is honest and trustworthy?

Q15 I am confident about the doctor's ability to provide care?

Q16 I would be completely happy to see the doctor again?

Q17 Overall how do you rate Arthington Medical Centre?

Clinical Care

Providing excellent clinical care is our priority. Please tell us how much you agree with the following statements

Q18 I feel listened to by the clinical staff?

Q19 The clinical staff treat me with dignity and respect?

Q20 The clinical staff explained my condition and treatment?

Q21 I am confident in the treatment I receive from the clinical staff?

Q22 I am happy with the clinical care I receive?

Q23 The doctor involved me in decisions about my treatment?

Please leave any comments on how the practice could be improved :

Getting involved

Did you know that we have a patient reference group. This group gives our patients the opportunity to get involved in helping improve the practice. If you are interested in finding out more about our patient reference group, please answer yes to the following question and leave your contact details in the box below:

I would like to find out more about the patient reference group?

Contact details required are:

• Name

• Address

• Phone number

• Email address

Equality Monitoring

By filling in this equality monitoring section you will help us ensure that we get feedback from all the different communties in our area.

Q25 Are you?

Q26 How old are you?

Q27 What is your ethnic group?

Q28 Are you disabled?

Q29 How often do you visit the surgery?

© 2012 Arthington Medical Centre