Beech House Surgery

Dear Patient,

We value your views because they help us provide the services you need in the way you need them. Please take a few minutes to answer this survey and tell us what you think.

This year we have prepared a short more qualitative survey to try and give us a broader prespective of patients' views.

A. The Surgery:

Q1: How long have you been a patient at this surgery?

Q2: What made you choose to be a patient at Beech House Surgery? (Please tick one of the following)

Comments:

Q3. Please complete the following two statements:

The best thing about Beech House Surgery is...

Beech House Surgery could be improved by..

B. Friends & Family

Q4: How likely are you to recommend our practice to friends and familyif they needed similar care or treatment?

Please briefly explain your answer

C. Equality Monitoring

By filling in this equality monitoring section you will help us ensure that we get feedback from all the different communities in our area. Are you:-

What age are you?

What is the ethnic background with which you most identify?

Employment

D. Other Comments

Please use the space below if you have any other issues or comments - positive or negative - that you would like to make:

Many thanks for your time in answering the questions on this survey. The results will be published early in the New Year.

Your Patient Participation Group