Q1. How do you normally book your appoinment to see a doctor, nurse or health care assistant at the Surgery? Please tick the boxes that apply
Q2. In the past 6 months how easy have you found the following?
Q2a. Getting through on the phone: Very easy Fairly easy Not very easy Not at all easy Don't know
Q2b. Speaking to a Doctor on the Phone? Very easy Fairly easy Not very easy Not at all easy Don't know
Q2c. Speaking to a Nurse on the phone? Very easy Fairly easy Not very easy Not at all easy Don't know
Q2d. Obtaining test results by phone? Very easy Fairly easy Not very easy Not at all easy Don't know
Q3. How helpful do you find the receptionists at the Surgery? Very Fairly Not very Not at all
Q4. How satisfied are you with the opening hours at the surgery? Very Fairly Quite dissatisfied Very dissatisfied
Q5. How helpful to you find the dispensary team the the Surgery? Very Fairly Not very Not at all
Q6. How long after your appointment time do you normally wait to be seen?Normally on time Less than 5 minutes 5 - 15 minutes 15 - 30 minutes More than 30 minutes
Q7. The last time you saw a Docotor at the surgery, how good was the Doctor at each of the following?
Q7a. Giving you enough time: Very good Good Poor Very poor Doesn't apply
Q7b. Asking about your symptoms: Very good Good Poor Very poor Doesn't apply
Q7c. Listening: Very good Good Poor Very poor Doesn't apply
Q7d. Explaining tests and treatments: Very good Good Poor Very poor Doesn't apply
Q7e. Involving you in decisions about your care Very good Good Poor Very poor Doesn't apply
Q7f. Treating you with care and concern: Very good Good Poor Very poor Doesn't apply
Q7g. Taking your problems seriously: Very good Good Poor Very poor Doesn't apply
Q8 Wouuld it be helpful to know and understand your doctors' qualifications and specialisms?Yes No
Q9 Are you aware of the following clinics that run at your surgery?
Q9a. Stop Smoking ClinicRoche Bugle St Dennis
Q9b. Community Midwife Clinic Roche Bugle St Dennis
Q9c. Nurse/Health Care Assistant ClinicRoche Bugle St Dennis
Q10. How helpful/useful do you find the information leaflets and notice boards at the Surgery? Very Fairly Not very Not at all
Q11. How clean is the Surgery? Very Fairly Not very Not at all
Q10. In general, how satisfied are you with the care you get at the surgery? Very Fairly Quite dissatisified Very dissatisfied
Q11. How clean is the surgery?Very Fairly Not very Not at all
Q12. Have you ever experienced a situation in which you would have complained?Yes No
Q13. Do you know what the complaints procedure is?Yes No
Q14. In general, how satisfied are you with the care you get at the surgery?Very Fairly Quite dissatisfied Very dissatisfied
Any other comments: