This survey is now closed

We would like your views on what issues matter most to you at the Surgery.

1. Appointments and Access

Being able to see the GP of your choice

 
 
 
 

Being able to book an appointment in advance

 
 
 
 

Being able to get an appointment at short notice

 
 
 
 

Not having to wait too long to be seen at the surgery

 
 
 
 

2. Reception Staff

Was your call answered in time?

 
 
 
 

Were your greeted when call was answered?

 
 
 
 

Did the receptionist give you her/his name at time of answer?

 
 
 
 

Was the receptionist polite?

 
 
 
 

When you came in for your appointment, were you greeted?

 
 
 
 

Did you wait for long time to be served?

 
 
 
 

Did the reception staff wear a name badge?

 
 
 
 

Any other comment on Reception Staff:

3. Communications

Do you find "Call Queuing" facility better than getting engaged tone?

 
 
 
 

Easy to contact Practice by telephone?

 
 
 
 

Did you know that you could also have a telephone consultation with your General Practitioner/Nurse/Health Care assistant

 
 
 
 

Do you find that you can usually get an appointment with the doctor or nurse within an acceptable time-frame, and at times that are suitable for you?

 
 
 
 

4. Access [within 2 to 3 mile range]

If the practice offers extra appointments at another site, would you attend the appointment there?

 
 
 
 

If the practice offered extra appointments at 7:00 AM or /after 6:30 PM at another sites, would you attend the appointment there?

 
 
 
 

If the practice offered extra appointments on Saturday with a GP; Practice Nurse and Health Care assistant at another site would you attend the appointment there?

 
 
 
 

Would you attend blood test appointment at another site?

 
 
 
 

5. Repeat Prescriptions

Are you aware that you could order your repeat prescription online?

 
 
 
 

Are you aware that in the next few months, your prescription could be sent online to the chemist of your choice

 
 
 
 

Are you aware that you need to give the practice 48 – 72 hour notice for your repeat prescriptions

 
 
 
 

6. Cleanliness of the Surgery

Did you find the practice reception clean?

 
 
 
 

Did you find the consultation room clean?

 
 
 
 

Did you use the washroom facility, was it clean?

 
 
 
 

7. Do you feel that changes in the Surgery (e.g. Holiday opening times, services such as repeat prescriptions etc) are communicated effectively?

 
 

If No

8. Your Likes, Dislikes and if you had a wish….

Things you like:

Things you dislike:

If you could change one thing about the Surgery, what would it be?

Your Experience with Doctor

Doctor / Nurse you saw Name

How long did you wait to see your doctor/Nurse

 
 
 
 
 

During the Consultation, how good is your Doctor/Nurse at:

a. Putting you at ease?

 
 
 
 

b. Being polite and considerate?

 
 
 
 

c. Listening to you?

 
 
 
 

d. Giving you enough time?

 
 
 
 

e. Assessing your medical condition?

 
 
 
 

f. Explaining your condition and treatment?

 
 
 
 

g. Involving you in decisions about your care?

 
 
 
 

h. Providing or arranging treatment for you?

 
 
 
 

About General Practitioner / Nurse / Health Care Assistant

a. Did you have confidence that the GP is honest and trustworthy?

 
 
 
 

b. Did you have confidence that the doctor will keep your information confidential?

 
 
 
 

c. Would you be completely happy to see this GP again?

 
 
 
 

WOULD YOU LIKE THE FINDINGS OF THIS SURVEY

Please give us your Name and Address

If you wish to participate in future survey by email, please give us your email address

Thank you for participating in the survey. Results will be published on the website end of October 2014.

Diversity Monitoring Form

"Diversity Monitoring" is the name given to personal information we collect about the people who use our services and you play a part in helping us to change things.

The information will be sued for statistical purposes only and details will be kept completely confidential

1. Are you

 
 
 

2. How old are you

 
 
 
 
 

3. Do you have a long-standing health condition?

 
 
 

4. What is your ethnic group?

 
 
 
 
 
 
 

5. Which of the following best describes you?

 
 
 
 
 
 
 

Would you like to receive result of the Survey, kindly write your email address. We would like you to be open, its only through your contribution and suggestion we are able to look at the way we provide our service.

Thank you for participating in the survey. Results will be published on the website end of October 2014.

Diversity Monitoring Form

"Diversity Monitoring" is the name given to personal information we collect about the people who use our services and you play a part in helping us to change things.

The information will be sued for statistical purposes only and details will be kept completely confidential

1. Are you

 
 
 

2. How old are you

 
 
 
 
 

3. Do you have a long-standing health condition?

 
 
 

4. What is your ethnic group?

 
 
 
 
 
 
 

5. Which of the following best describes you?

 
 
 
 
 
 
 

Would you like to receive result of the Survey, kindly write your email address. We would like you to be open, its only through your contribution and suggestion we are able to look at the way we provide our service.


THANK YOU FOR PARTICIPATING

This survey is now closed