We should be grateful if you would complete this survey. The opinions of our patients are important to us and your feedback will help us to provide a high quality service and deal with any problems.
Please answer ALL the questions you can - there are no right or wrong answers. Please note that this survey is completely anonymous and no member of the practice staff will be able to identify your individual answers. PLEASE DO NOT INCLUDE ANY PERSONAL INFORMATION IN THIS SURVEY AS THE RESULTS WILL BE PUBLISHED ON THIS WEBSITE IN MARCH 2015. If you would like individual feedback then please contact us directly.
Please enter the name of the GP/Nurse you saw and add any additional comments:
Q1. Putting you at ease?
Q2. Being polite and considerate?
Q3. Listening to you?
Q4. Giving you enough time?
Q5. Assessing your medical condition?
Q6. Explaining your condition and treatment?
Q7. Involving you in decisions about your care?
Q8. Providing or arranging treatment for you?
Q9. Do you have confidence that the GP/Nurse will keep your information confidential?
Q10. Would you be completely happy to see this GP/Nurse again?
Q11. How long did you wait for your consultation to start?
Q13. If you have seen or spoken to the Triage Nurse please give your comments below:
Q14. How helpful do you find our receptionists?
Q15. Do you have any general comments about the way in which our reception staff dealt with your query when you contacted the surgery?
Q16. How easy is it to get through to us on the phone?
Q17. How easy is it to speak to a doctor or nurse on the phone?
Q18. If you need to see or speak to a GP urgently, is this normally available the same day?
Q19. How easy is it to book appointments up to 4 weeks ahead?
Q20. Which of the following methods would you prefer to use to book appointments? (please tick all boxes that apply)
Q21. Did you know that you can order your repeat prescriptions online?
Q22. Were you able to see the GP or nurse of your choice?
Q23. If you answered No to Question 22, were you aware that some of our newer GPs/Nurses often have shorter wait times?
Q24. We would like you to think about your recent experiences of our service. How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment?
Q25. Are you ?
Q26. How old are you?
Q27. Do you have a long-standing health condition?
Q28. What is the ethnic background with which you most identify?
What is the main language spoken in your household?
Q29. Which of the following best describes you? (tick all that apply)
Please add any other comments you would like to make about the surgery:
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Do not complete this section, for Surgery use only Completed in Surgery Home visit