This questionnaire is designed for issue to patients to assess the service provided.
You can help the Practice to improve its service.
• The doctors and staff welcome your feedback• Please do not write your name on this survey• Please read and complete this survey while waiting for your appointment
Are you seeing?o Doctor o Practice Nurse
Please tick as appropriatePLEASE RATE EACH OF THE FOLLOWING AREAS BY TICKING ONCE ON EACH LINE:
1. Speed at which the telephone was answered initially
2. Length of time you had to wait for an appointment
3. Convenience of day and time of your appointment
4. Seeing the Doctor of your choice
5. Length of time waiting to see the Doctor or Nurse
6. Opportunity of speaking to a Doctor or Nurse on the telephone when necessary
7. Opportunity of obtaining a home visit when necessary
8. Level of satisfaction with the after- hours service
9. Prescription ready on time
10. Prescription correctly issued
11. Handling of any queries
12. Electronic Prescription Service (convenience, ease of use etc.)
13. Were you told when to contact us for your results?
14. Results available when you contacted us
15. Level of satisfaction with the amount of information provided
16. Level of satisfaction with the manner in which the result was given
17. The information provided by the Reception staff
18. The helpfulness of the Reception staff
19. The information provided by other staff
20. The helpfulness of other staff
21. My overall satisfaction with this Practice
Any further comments or suggestions:
The following questions provide us only with general information about the range of people who have responded to this survey. It will not be used to identify you, and will remain confidential.
How old are you?
Are you male or female?
How many years have you been attending this Practice?
Thank you very much for your time and assistance