The Village Practice Patient Survey 2016
1. Approximately how many times have you seen a medical professional at the practice in the last 12 months? (Please provide a number in this box)
2. Do you know our new services which are available? Nurse Practitioner Clnical Pharmacist Counselling
3. Which of the following services have you used at the practice in the last 12 months? (Please tick all that apply)
4. Overall how do you rate the range and quality of the services you have used in the last 12 months?
5. In the past 6 months have you generally been able to get an appointment with a doctor/nurse when you have requested one?
5a. If you answered NO to the above question, please give details
6. In the past 6 months have you generally been able to get a future appointment with the doctor/nurse when you have requested one?
6a. If you have answered NO to the above question, please give details
7. Please rate how easily you were able to obtain each of the following? Speak to a health care professional on the phone
7a. See a health care professional face to face
8. Do you find the present system for booking appointments convenient?
8a. If you answered NO to the above question, please give details
9. Have you used our "extended hours" services?
9a. If you have answered YES to the above question, please rate your overall experience of the extended hours service
10. Have used the "Out of Hours" service?
10a. If you have answered YES to the above question, please rate your overall experience of the "Out of Hours" service
11. Are you aware of the services which are available for you to use online?
12. How important to you are the following services that the practice offers? Online services via the internet
12a. Telephone Consultations
12b. Face to Face Consultations
13. If Other services are important to you, please give details
14. Are you aware of the services which are available for you to use online?
15. How do you rate the facilities offered at the surgery?
16. Based on your last visit to the surgery, please rate the way reception helped you
17. Based on your last visit to a Doctor, please rate the treatment provided
18. Based on your last visit to a Nurse, please rate the treatment provided
Your views are important to us. To help us improve our performance and services for you, please provide any other comments below
The followng are all optional and help categorise the results of this survey
Age (for statistical purposes only)
Sex (for statistical purposes only)