Title
First Name(s)
Surname
Email Address
Telephone
Your Gender
Your Age
The ethnic background with which you identify is
How would you describe how often you come to the practice
How do you access information about the surgery
Which is your preferred method of accessing information about the surgery?
How effective do you feel your preferred method is?
How do you feel we communicate with our patients?
Were you aware before this questionnaire that we had a website?
Would you like the information we communicate within the surgery to be made available in a nother language?
If yes which language?
Is there anything you would like to see us provide that we don't already with regards to patient participation? e.g. Healthy Eating talks/Tea&Coffee mornings
If yes what would you like us to provide?
We are currently looking at running a gardening project for the front garden of the surgery, is this something you would be interested in getting involved in?
Our hours have recently been extended as follows; Monday, Wednesday, Thursday & Friday from 18:30-19:00pm Tuesdays from 18:30-19:30pm. Do these hours help improve patient access for you?
If no then what hours would you like our openings to be extended to?