Patient Feedback Survey 2014/2015
We would like you to think about your recent experiences of our service.
How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment?
Extremely Likely Likely Neither Likely or Unlikely Unlikely Extremely Unlikely Don't know
Please tell us why you have given that response.
You told us GPs sometimes run behind and this impacts on your appointment time. Whilst GPs cannot avoid emergencies, we have revised our appointment structure. Thinking about your last appointment with a doctor, please indicate how long you waited to be seen?
Less than 10 minutes 10-20 minutes More than 20 minutes
If you waited more than 20 minutes, were you informed of the delay?
Yes No
If you answered ‘yes’ were you given the opportunity to rebook your appointment and the chance to speak to a Supervisor?
We have recently changed our cleaners and The Care Quality Commission Inspectors rated us as compliant with national standards. How would you rate our premises?
Excellent Good Satisfactory Needs Improvement
If you have ticked needs improvement, please tell us what areas of our premises we need to improve.
Thinking about either your last telephone call to the Surgery or your last visit, when you spoke to our Receptionist, how would you rate the service you received?
Excellent Good Satsifactory Needs Improvement
Please indicate if this was
Face to face Phonecall
If you have ticked needs improvement, please tell us how you think this could be better.
We welcome feedback especially when we have the opportunity to improve. Are you aware that you can always discuss your experience with a supervisor at the time you encounter the issue?
Please be aware that we would like to publish your comments in our report but they will be anonymised.
Moordown Medical Centre would like to invite you to join our Patient Participation Group to help us to develop a partnership with our patients. We would like to find out what our patients think about our services and help us to establish our priorities. This is a virtual group and we will communicate with you via the post. Please contact the surgery and leave your name and current telephone number if you are interested in joining the PPG or alternatively complete the sign-up sheet on our website.
Are you male or female?
Male Female
Please indicate your current age band below.
Under 16 17 to 24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75-84 years 85 or older
To ensure that our contact list is representative of our local community please indicate which of the following ethnic background you would most closely identify with.
British Group Irish Gypsy or Irish Traveller Other White White and Black Carribean White and Black African White and Asian Other mixed Indian Pakistani Bangladeshi Chinese Other Asian Carribean African Other Black Arab Any other
Please tick the boxes that apply.
Carer Unemployed Student Employed Self Employed I have a disability Housebound Retired
If you have a condition that is making the completion of this form difficult please contact the surgery on 01202 974700 and request a call back from the Management Team to assist you with this.
Thank you for completing this form on behalf of Moordown Medical Centre.