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PATIENT SURVEY 2012/2013
Section 1 - ACCESS TO DOCTORS
In the past 12 months, how many times have you seen a DOCTOR from the surgery?
How quickly do you usually get to see a DOCTOR?
How do you rate this?
If you need to see a DOCTOR urgently, can you normally get seen on the same day?
In general, how often do you see the DOCTOR you want to see ?
How do you rate this?
Section 2 - CARE BY DOCTORS
What was the name of the DOCTOR you saw most recently?
Thinking of the named DOCTOR you saw recently, rate how thoroughly they asks about your symptoms and how you are feeling?
Thinking of the named DOCTOR you saw recently, rate how well they listen to what you said?
Thinking of the named DOCTOR you saw recently, rate how well they put you at ease during your consultation/examination?
Thinking of the named DOCTOR you saw recently, rate how well they explain your health problems or any treatment that you needed?
Thinking of the named DOCTOR you saw recently, rate how well they involved you in the decisions about your care?
Thinking of the named DOCTOR you saw recently, rate their patience with your questions or worries?
Thinking of the named DOCTOR you saw recently, rate their care and concern for you?
Thinking of the named DOCTOR you saw recently, rate the amount of time they spent with you?
Section 3 - CARE BY NURSES OR HEALTH CARE ASSISTANT
What was the name of the NURSE or HEALTH CARE ASSISTANT (HCA) you saw most recently?
Thinking of the nurse or HCA you saw recently, how do you rate how well they listened to what you had to say?
Thinking of the nurse or HCA you saw recently, how do you rate how well they put you at ease during your consultation/treatment?
Thinking of the nurse or HCA you saw recently, how do you rate how well they explained the treatment that you needed?
Thinking of the nurse or HCA you saw recently, how do you rate their patience with your questions or worries?
Thinking of the nurse or HCA you saw recently, how do you rate the amount of time they spent with you?
Section 4 - APPOINTMENTS
Do your APPOINTMENTS usually begin on time?
How do you rate this?
Section 5 - SURGERY
How do you rate the way you are treated by the RECEPTIONIST at the surgery?
When you have PHONED the surgery how do you rate the ability to get through to the surgery on the phone?
When you have PHONED the surgery how do you rate the ability to get telephone advice from a doctor?
When you ATTEND the surgery, is the waiting room usually WELL LIT?
When you ATTEND the surgery, is the waiting room usually COMFORTABLE?
When you ATTEND the surgery, is the waiting room usually adequately SIGN POSTED?
When you ATTEND the surgery, is the waiting room usually WELL DECORATED?
When you ATTEND the surgery, does the waiting room usually have ENOUGH SEATS?
When you ATTEND the surgery, does the waiting room usually have CLEAN, ACCESSIBLE TOILETS?
When you ATTEND the surgery, does the waiting room usually have an up-to-date notice board?
When you ATTEND the surgery, does the waiting room usually have adequate room for wheelchairs?
Do you have difficulties with access into the surgery building?
All things considered, how do you rate the SURGERY?
Section 6 - PATIENT REFERENCE GROUPS (PRG) - The surgery is continuing to develop a PRG, to give patients more participation in relation to the service and care you receive.
Do you feel this would be beneficial?
Which form of group do you feel would be more beneficial?
The PRG requires patient representatives. Would you be willing to be part of this group?
If you are willing to be a member of the PRG, please complete our on-line registration form (go to GET INVOLVED link on website)
Section 7 - ABOUT YOU
are you....
How old are you?
Do you have any long-term illness, infirmity or disability which limits your daily activities or the work you can do?
To which one of these groups do you consider you belong?
COMMENTS - is there anything particularly good about your healthcare or surgery you wish to metion?
COMMENTS - any further comment?