Patient Survey

Q1. How satisfied or dissatisfied are you with the opening hours of the practice?

 
 
 
 
 

Q2. How satisfied or dissatisfied are you with the service you received from reception?

 
 
 
 
 

Q3. Normally, how easy is it for you to get an appointment on the day/time you want?

 
 
 
 
 

Q4. Are you able to see the Doctor that you ask for?

 
 
 
 
 

Q5. Do you use the internet to book appointments online?

 
 

Q6.After arriving for your appointment, how long do you usually wait before you are seen by the Doctor or Nurse?

 
 
 
 
 

Q7. How satisfied or dissatisfied are you with how long you have to wait?

 
 
 
 
 

Q8. Thinking about your last appointment, how satisfied were you that the Doctor...?a.Gave you enough time to discuss your medical issue

 
 
 
 
 

b. Listened to you

 
 
 
 
 

c. Explained any tests or treatments

 
 
 
 
 

d. Involved you in decisions about your care

 
 
 
 
 

e. Treated you with care and concern

 
 
 
 
 

Q9. Please tell us what things you particularly like, are good about the practice

Q10. Please tell us if there is anything you feel could be improved

Q11. Please tell us your gender

 
 

Q12. Please tell us what age group you belong to

 
 
 
 
 
 
 
 

Q13. Please tell us your ethnic group