Patient Satisfaction Questionnaire
Chapel Street Medical Centre
January / February 2017
You can help us improve our service:
When completing this survey, please focus on the consultation you have had today.
Making Your Appointment
How did you make your appointment?
My appointment was with a .....
Ease of making your appointment:
The manner in which you were treated by reception staff was .....
Satisfaction with the day and time arranged for the appointment:
Was your appointment with your preferred Doctor/Nurse?
Would you have preferred to have had a consultation by telephone rather than attending the surgery?
Attending The Surgery
The manner in which you were greeted by reception staff was .....
The length of time waiting to be seen by Doctor/Nurse was .....
The warmth of the Doctor/Nurse's greeting to me was .....
The opportunity for me to explain my concerns was .....
The Doctor/Nurse's manner and attitude was .....
The Doctor/Nurse's explanations were .....
My overall satisfaction with my consultation was .....
Follow-Up Action
The Doctor/Nurse's explanation of the way forward was .....
I was given a clear explanation of follow-up arrangements made .....
Generally
Ease of contacting the Practice by telephone is .....
Ease of getting medical information from a Doctor or Nurse without having an appointment in surgery is .....
If you use SystmOnline to contact us, what is your experience of .....
Booking an appointment
Ordering medications
Viewing your summary care record
Making general enquiries
I would recommend this surgery to other people .....
Any comments about how this Practice could improve its service?
Any comments about how this Doctor/Nurse could improve?
Optional
The name of the Receptionist who dealt with me today was .....
The name of the Doctor/Nurse who I saw today .....
Your name .....