We would be grateful if you would complete this survey about your doctor and our practice as we want to provide the highest standard of care. Your opinions are very valuable. Please answer ALL the questions you can. There are no right or wrong answers and we will NOT be able to identify you. Thankyou
About the practice
Q1 Are you satisfied with the practice opening hours?
Q2 Was it easy to contact the practice on the telephone?
Q3 Were you able to see the doctor of your choice?
Q4 Opportunity of speaking to a doctor on the telephone when necessary?
Q5 Length of time waiting in the practice?
About the doctor (whom you have just seen):
Q1 My overall satisfaction with this visit to the doctor?
Q2 The warmth of the doctor's greeting to me was?
Q3 On this visit I would rate the doctor's ability to really listen to me as?
Q4 The doctor's explanations of things to me were?
Q5 The extent to which I felt reassured by the doctor was?
Q6 My confidence in this doctor's ability is?
Q7 The opportunity the doctor gave me to express my concerns was?
Q8 The amount of time given to me for this consultation was?
Q9 The doctor's concern for me as a person on this consultation was?
Q10 Was this visit with your usual doctor?
Q11 I would recommend to my friends this doctor?
About the staff:
Q1 The way in which you were treated by the surgery staff
Q2 The respect shown for my privacy and confidentiality?
Q3 The ease to obtain information about available services e.g repeat prescriptions, tests, costs of private services etc?
Finally:
Q1 The information provided by the practice about how to prevent illness and stay healthy (e.g. alcohol use, health risks of smoking, diet habits etc)?
Q2 How old are you?
Q3 Are you?
Q4 What is your ethnic group?
Q5 How many years have you been a patient of this practice?
Q6 Do you look after, of give any help or support to family members, friends, neighbours or others because of long-term physical or mental ill health / disability or problems related to old age?
Q7 Are you a deaf person who uses sign language?
Q8 Please add any comments about how our practice could improve its service?
Barn Close Surgery, 38-40 High Street, Broadway, Worcestershire, WR12 7DT