PART 1 MOST RECENT EXPERIENCE We would like you to think about your experience regarding your last visit to the Practice.Who was your appointment with?
2. How likely are you to recommend our practice to friends and family if they needed similar care or treatment?
3. Please can you tell us the main reason for the rating you have given?
4. Please can you tell us why you would/would not recommend us to your Friends and Family?
5. How long did you have to wait to be seen for your appointment from your appointment time?
6. At your appointment did the doctor or nurse?
7. In general how satisfied were you with the care you received
8. If you booked your appointment by phone, how easy was it getting through?
Part 2 BROADER EXPERIENCES. We have a daily telephone call consultation process for patients with urgent care needs. What has been your experience of this arrangement?
10. How helpful have you found our Receptionist and Administration staff?
11. When you have asked for an appointment with a specific Doctor or Nurse, how long have you normally had to wait for an appointment?
12. How do you rate this?
13. When you have wanted to see any Doctor or Nurse, how long have you normally had to wait for an appointment?
14. How do you rate this?
15. In an emergency, can you get to see a Doctor?
16. The surgery is usually open for extend time on Thursday evenings and Saturday mornings. Which additional times would you prefer the Surgery to be open?
17. If you have experienced local Out of Hours care in the last 3 months, how would you rate their service (this is not a question about the NHS 111 service)?
18. How clean do you find the Surgery?
19. Are you?
Female Male
20. Which age group?
0 to 15 16-24 24-35 36-49 50-64 65+
21. Ethnicity?
White-British White-Irish White-Other Mixed-White and Black Caribbean Mixed-White and Black African Mixed-White and Asain Mixed-Other Asian or Asian British-Indian Asian or Asian British-Pakistani Asian or Asian British-Bangladeshi Any other Asian Black or Black British-Caribbean Black or Black British-African Black or Black British-Other Chinese or other ethnic group-Chinese Chinese or other ethnic group-Other Arab or Middle Eastern descent-Arab Arab or Middle Eastern descent-North African Arab or Middle Eastern descent-Iraqi Arab or Middle Eastern descent-Kurdish Arab or Middle Eastern descent-Other