The Palms Medical Centre

Patient Survey 2013

We would appreciate it if you could complete this short questionnaire regarding our service. Your opinions on how we can make improvements are greatly appreciated.

Please rate your answers on a scale of 1 - 5

1 = poor 5 = very good

1. How satisfied are you with the helpfulness of the reception staff?

5

4

3

2

1

2. How easy do you find making an appointment to see a Doctor or Nurse by telephone?

5

4

3

2

1

3. Do you feel that the Doctor listens to you and understands your needs?

5

4

3

2

1

4. How satisfied are you with the opening hours?

5

4

3

2

1

5. Has the new touch screen booking in system improved this service?

5

4

3

2

1

6. Do you know how to get medical advice outside surgery hours?

Yes

No

7. Would you prefer to make an appointment on-line?

Yes

No

8. If you have been unable to get an appointment did you use any other services i.e. pharmacy, walk-in centre, Urgent Care Centre?

9. What changes or improvements would you like to see at the practice?

Personal Details

Please tick which applies to you:

Male

Female

Age Range

0-24

25-34

35-44

45-54

55-64

65-74

75+

Ethnicity

White

British

Irish

Mixed

White & black Caribbean

White & black African

White & Asian

Asian or Asian British

Indian

Pakistani

Bangladeshi

Black or black British

Caribbean

African

Chinese or Other Group

Chinese

Any other ethnic group

THANK YOU FOR TAKING THE TIME TO COMPLETE OUR SURVEY