Which Practice site do you usually visit?

How do you normally travel to that site?

PARKING

If by Motor Vehicle, what is your view of the parking facilities available?

If parking is a major obstacle, have you any ideas on how to help alleviate the problem?

APPOINTMENTS

Thinking of the last time you needed to see ANY Doctor "URGENTLY", were you able to speak with a Doctor or be seen on the same day? e.g. Dr Telephone or Sit & Wait.

Thinking of the last time you needed to see a Doctor for a ROUTINE appointment, were you able to book an appointment within 48 hours?

How easy do you find it is to PRE BOOK (up to 4 weeks) an appointment?

Are you aware of our Dr Telephone consultation service?

Could a Dr Telephone GP consultation have saved you a visit to the surgery?

How do you normally book your appointments at the practice?

Would you like to see some appointments available for booking on line?

We have a mixture of "On the day appointments; Pre-bookable appointments; Dr Telephone; Sit & Wait (for urgent cases that cannot wait). Is there anything else you think we should consider?

CLINICAL CARE

Thinking of the last time you had a ROUTINE appointment with the Doctor:

How do you feel about how long you had to wait to be seen for your appointment?

How do you rate the amount of time given to you by the Doctor?

How good was the Doctor in Listening to you?

How good was the Doctor at taking your problems seriously?

How good was the Doctor at treating you with care and concern?

How good was the Doctor at involving you in the decisions about your care?

How good was the Doctor at explaining tests and treatments?

Do you have confidence and trust in the Doctor you saw?

If you know the name of the GP you last saw please type/write it in here:

PRACTICE PATIENT INFORMATION

Do you get enough Information about the Practice and the Services that we offer?

Have you looked at the Practice Web Site and/or the Practice Leaflet for details of services and information?

Are you aware that the practice have created a series of "Brief Guides to"......... a series of medical conditions and general advice and that these are available on the practice web site and also in the waiting room?

Are you aware of our quarterly Practice Newsletter?

What other Information about the Practice and the Services that we offer would you like to be made available?

TELEPHONING ANSWERING AND ACCESS

In the past 12 months how easy have you found the following?:-

Getting through on the phone to speak with Reception?

Getting through on the phone to speak with Dispensary?

THE PRACTICE OVERALL

How satisfied are you with the overall care you receive at the Practice?

ABOUT YOU

It will help us to understand your answers if you could tell us a little about yourself:

Are you?

How old are you?

Do you have a long standing health condition?

What is your ethnic group?

Which of the following best describes you?

Finally, please add any other comments you would like to make about your Doctors' Surgery: