Oakwood Lane Medical Practice

Patient Questionnaire 2015

This survey is now closed

Patient Questionnaire 2015

Please complete the questionnaire below.

The questionnaire has been developed by the Patients Forum and the information gathered will be used to help the Practice improve standards of care and service.

Each return is intended to be anonymous so please do not add your name.

APPOINTMENTS

1. Have you made any appointments to see a doctor, nurse or health care assistant in the last year?

Yes

No

If YES, please tick each method you used. In each case please tick below to say how satisfied you were with the outcome.

1a Appoinments made online using the Practice Website:

Yes

No

Please say how satisfied you were with the outcome

Very satisfied

Satisfied

Don't Know

Not satisfied

Extremely dissatisfied

Please give reasons for your response

1b Appointments made by Telephone

Yes

No

Please say how satisfied you were with the outcome

Very satisfied

Satisfied

Don't know

Not satisfied

Extremely dissatisfied

Please give reasons for your response

1c Appointments made at the reception desk in the Oakwood Lane Medical Centre

Yes

No

Please say how satisfied you were with the outcome

Very satisfied

Satisfied

Don't know

Not satisfied

Extremely dissatisfied

Please give reasons for your response

SUPPORT, RESPECT, AND CONFIDENTIALITY

2. Do you need help, or support, to access medical services at your GP Practice? This could be very individual to you but your personal comments are welcomed.

Yes

No

Comments

3. Can you speak confidentially to:

Doctors?

Yes

No

Nurses?

Yes

No

Receptionists?

Yes

No

Comments

4. Are you treated with respect and dignity by:

Doctors?

Yes

No

Nurses?

Yes

No

Receptionists?

Yes

No

Comments

5. Please say how satisfied you are with your involvement in discussions about your care and treatment?

Very satisfied

Satisfied

Don't know

Not satisfied

Extremely dissatisfied

Comments

COMMUNITY INVOLVEMENT

6. Would you welcome an organised walking group or other events to promote healthy living?

Yes

No

Comments

7. There is a large community space within the Practice premises. How would you like to see this used?

TRANSPORT

8. How do you get to the surgery?

Bus

Walk

Bicycle

Car

Motor Cycle

Taxi

Other (Please state in next box)

Please comment if you have transport problems

COMPLAINTS

9. Have you made a complaint within the last year?

Yes

No

If YES, please say how satisfied you were with the outcome:

Very satisfied

Satisfied

Don't know

Not satisfied

Extremely dissatisfied

Comments

SUGGESTIONS

10. Is there anything that would improve the patient experience for you?

AND FINALLY...

A little bit about you...

Are you?

Male

Female

What age are you?

0-15

16-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Do you consider yourself to have a disability?

Yes

No

Details...

Which of the following best describes your ethnic background?

White - British

White - Irish

White - Other white background

Asian or Asian British

Indian

Pakistani

Bangladeshi

Chinese

Other Asian background

Mixed

White and Black Caribbean

White and Black African

White and Asian

Other Mixed Background

Black or Black British

Caribbean

African

Other Black Background

Other

Anything else

I would rather not say

Are you?

the patient

the parent or carer

the patient and the parent/carer

Thank you for giving your time to complete this questionnaire.

Please remember to click on 'SEND' when you have finished.

This survey is now closed