We would be grateful if you would be willing to spend a few moments completing a short questionnaire about our practice. They 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 your doctor will NOT be able to identify your individual answers. Thank you.
Thinking of times when you have a consultation with your Dr
Q1. How quickly can you speak to or see a Dr?
Q2. If you need to speak to or see a GP urgently, can you normally get an appointment for the same day?
Thinking of when you consult your usual Doctor, how do you rate the following?
Q3. How thoroughly the doctor asks about your symptoms and how you are feeling?
Q4. How well the doctor listens to what you have to say?
Q5. How well the doctor puts you at ease during your physical examination?
Q6. How much the doctor involves you in decisions about your care?
Q7. How well the doctor explains your problems or any treatment that you need?
Q8. The amount of time the doctor spends with you?
Q9. How patient the doctor is with your questions or worries?
Thinking about the last nurse/HCA you have seen, how do you rate the following?
Q10. How well they listen to you?
Q11. The quality of care provided?
Q12. How well they explain your health problems or any treatment needed?
Thinking about the last time you spoke to a receptionist
Q13. How polite and helpful they were?
General questions
Q14. How important is it to you that you see a specific GP when coming to this practice?
Q15. The last time you tried, how easy was it to get an appointment with the GP you wanted to see?
Q16. How well do you know which days of the week your preferred GP is available?
Q17. How far in advance would you like to be able to book an appointment?
Q18. Which of the following methods would you prefer to use to book appointments at your practice? (please X all boxes that apply)
Q19. Have you ever missed an appointment because? (please X all boxes that apply)
Q20. If the practice altered their phone system in the future, what would you like to be included?: (please only tick one box)
Facility incorporated to press number on keypad to direct patients to the following department:
Emergency Bypass telephone to fast track to GP, if appropriate
Secretary
Prescription queries
Test results
Insurance queries
Other
Do you have any other comments?
Is there anything particularly good about The Brow Medical Centre?
Is there anything that could be improved?
Some questions about you
The following questions will help us to see whether we are getting the views of the different groups within all the patients registered with The Brow Medical Centre. We will keep your answers completely confidential.
Q21. Are you?
Q22. How old are you?
Q23. Do you consider yourself to have a disability?
Q24. What is your ethnic group?
Q25. Which of the following best describes how you think of yourself?
Q26. Which of the following best describes your religion?
Thank you for completing our survey.
Date completed