This survey is now closed

Patient Satisfaction Questionnaire

Chapel Street Medical Centre

January / February 2017

You can help us improve our service:

  • The Doctors and staff at this surgery welcome your honest feedback.
  • Please read and complete the survey after you have seen the Doctor/Nurse.
  • Unless you choose to add your name, no-one else at the Practice will be able to identify your personal responses.

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 .....

This survey is now closed