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Patient Survey 2013
Dear Patient
We should be grateful if you could complete this short survey about your experience of our practice. We wish to provide the highest standard of care and feedback from this survey will allow us to identify areas for improvement. Your opinions are therefore very valuable.
There are no right or wrong answers and any responses you give are in strictest confidence.
Completing this survey should take approximately 5 minutes.
As part of the survey is about your usual doctor, please indicate the doctor's name
When did you last see a doctor at the practice?
How often do you see the doctor you prefer?
If you have had a telephone consultation in the past, did you find them useful?
Thinking of the consultation(s) with your usual doctor, how do you rate the following
How throughly did the doctor ask you about your symptoms and how you were feeling?
How well did the doctor listen to what you had to say?
How much did the doctor involve you in the decisions about your care?
How well did the doctor explain about your problem and any treatment that you may need?
The amount of time the doctor usually spends with you?
Thinking of the last time you were not able to see a doctor during the next 2 days when the practice was open, why was that?
As part of the survey is about the practice nurse you usually see, please indicate the nurse's name
Thinking about when you have had an appointment with the practice nurse, how do you rate the following
How well did the nurse listen to what you had to say?
The quality of care provided by the nurse
How well did the nurse explain your health problem or any treatment needed?
How many times in the last 12 months have you attended the Practice Nurse Led Minor Illness Clinic?
If you have attended the Practice Nurse Led Minor Illness Clinic, how satisfied were you with the service?
Giving you enough time
Asking about your symptoms
Listening to what you had to say
Explaining tests and treatment
Involving you in decisions about your care
Treating you with care and concern
Please answer the following questions if yuo have had a test taken in the last 3 months
When the GP requested the test, did you know what it was for?
Were you advised how long you would have to wait for the result?
Were you advised how you could get the result?
Did you receive the result?
If a further test was required, were you advised why?
Do you know how to contact the out of hours GP service
Do you have carer responsibilities for anyone with a long-term health problem or disability?
If you answered yes and would like to be supported by the practice, please leave your contact details below
Are you cared for due to a long-term health problem or disability?
If you answered yes, please leave your name and address
If you would like to be part of a virtual user group to help us to improve services, please provide your email address below
Thank you for the time you have taken completing this patient survey