Dear Patient,

Many thanks for agreeing to take this short survey to help our practice understand how the services we provide can be improved.

Please answer all of the questions and click Send when you are done.

Q1: How well do you rate your experience with our receptionists?

 
 
 
 
 

Q2: How well do you rate the existing opening hours?

 
 
 
 
 

Q3: How do you rate the practice premises/environment?

 
 
 
 
 

Q4: How do you rate the availability of a SPECIFIC doctor?

 
 
 
 
 

Q5: How do you rate the availability of any doctor?

 
 
 
 
 

Q6: How do you rate the waiting time at the practice for your consultation to begin?

 
 
 
 
 

Q7: How do you rate the ability to get through to the practice on the telephone:

 
 
 
 
 

Q8: How do you rate the ability to speak to a doctor on the phone for advice?

 
 
 
 
 

Q9: How well does the doctor listen to what you have to say?

 
 
 
 
 

Q10: How satisfied are you with how thoroughly the GP investigated your symptoms:

 
 
 
 
 

Q11: How well does the doctor make you feel at ease during your consultation:

 
 
 
 
 

Q12: How well do you feel you are involved in decisions about your healthcare:

 
 
 
 
 

Q13: How well does the doctor explain your problem(s) and/or treatment?

 
 
 
 
 

Q14: How well do you rate the doctors caring and concern for you?

 
 
 
 
 

Q15: How well do you understand you problem(s) after the consultation?

 
 
 
 
 

Q16: How well do you think you can cope after your visit to the surgery?

 
 
 
 
 

Q17: All things considered, how satisfied overall are you with the practice?

 
 
 
 
 



To help us analyse your answers please tell us a few things about yourself:

Are you male or female?

 
 

What age are you?

 
 
 
 
 

How often do you visit a GP in a 12 month period on average?

 
 
 
 
 

Do you have any long standing illness, disability or infirmary?

 
 

What is the ethnic background with which you most identify?

 
 
 
 
 
 
 
 
 
 
 
 

Many thanks for your time in answering the questions on this survey.