Thank you for joining our Patient Participation Group and taking the time to complete this questionnaire. The results of this survey will be fed back to our clinical staff to help improve your care.
NAME
DATE OF BIRTH
EMAIL ADDRESS
1. The surgery has an active Patient Participation Group who meet monthly to extend patient involvement in our services and their care. Would you be interested in finding out more about this group?
2. We would like to understand how effective our telephone consultation are. Having experienced these do you find they provide a satisfactory outcome and avoid the need for a face-to-face follow up consultation?
3. Our Vision Online system allows patients to schedule their own appointments. Would an email reminder be helpful to avoid forgetting an appointment you have made?
4. A high volume of patients fail to attend their appointments. Do you think a "telephone texting" reminder system should be introduced?
5. Our Practice Newsletter has recently been published which includes information regarding alternative sources of medical care e.g. pharmacy, choose well, local walk in centres and 111 out of hours. Are you fully aware of and do you use these facilities?
6. Can you suggest any items you would like to see in our Newsletter?
7. Can you suggest any ways to improve our care for you?
Are you male or female?
Male Female
How old are you?
Under 16 17-24 25-34 35-44 45-54 55-64 65-74 74 84 85+
What is your ethnic origin?
White - British White - Irish White - Gypsy/Irish Traveller White-Other Asian/Asian British - Indian Asian/Asian British - Pakistani Asian British - Chinese Asian/Asian British - Other Other - Arab Mixed - White & Black Caribbean White - White & Black African Mixed - White & Asian Mixed - Other Black/African/Caribbean/Black British - African Black/African/Caribbean/Black British - Caribbean Black/African/Caribbean/Black British - Other Black Mixed - Other Any Other
Many thanks for taking the time to complete the survey - every response will assist us in improving the level of care and service provided for our patients.