Dear Patient,

Many thanks for agreeing to take this short survey to help our practice understand how our appointment system can be improved, if at all.

Please answer all of the questions and click 'Send Survey' when you are done.

1. Appointments

If you need to be seen urgently we will try our best to give you an appointment on the same day. This appointment might not be with your regular doctor. If you need a non-urgent appointment we will try our best to give you an appointment within a week of your call.

Considering this appointment system, please tell us how much you agree with the following statements

a) If I need an urgent appointment I am usually seen the same day

b) If I need a non-urgent appointment I am usually seen within one week

c) I am able to speak to a doctor or nurse on the telephone when necessary

2. Opening times

Our current opening times are Monday to Friday 8.00am - 7pm and Saturday 8.30 - 11.30am

Considering our opening times, please tell us how much you agree with the following statement

a) I think the current opening times are about right

3. Our Surgery

We want to make your visit to the surgery as pleasant as possible. Please tell us how much you agree with the following statements

a) The practice is easy to get to

b) The practice is clean and tidy

c) Overall I think the practice is welcoming

d) The staff are friendly and approachable

e) The staff show respect for privacy and confidentiality

f) The staff try their best to be helpful even if they cant give me exactly what I want

g) I would like to be able to order prescripions on the phone, perhaps using an automated service

4 . Clinical care

Providing excellent clinical care is our priority. Please tell us how much you agree with the following statements

a) I feel listened to by the clinical staff

b) The clinical staff treat me with dignity and respect

c) The clinical staff communicate their message clearly and effectively

d) I am confident in the treatment I receive from the clinical staff

e) I am happy with the clinical care I receive

f) I did not have to wait too long in the surgery to see the GP

To help us analyse your answers please tell us a few things about yourself:

Are you male or female?

What age are you?

What is the ethnic background with which you most identify?

How would you describe how often you come to the practice?

Many thanks for your time in answering the questions on this survey