1. Sex. Are you?
2. Age Group
3. How easy is it to get an appointment
4 How easy is it to get an appointment with a chosen GP?
5. How important is it to see a specific GP?
6. How satisfied are you with the surgery opening times?
7. Can other patients overhear what you say to the receptionist?
8. How helpful do you find the receptionists?
9. On arriving at the surgery how long do you have to wait to see the doctor/nurse?
10. How good are your doctors/nurses at listening
11. How well do the doctors/nurses explain things to you?
12. How satisfied are you with the service provided by the practice nurses?
13. If you have any disability does the practice meet your needs?
14. Do you or someone you accompany have insufficient knowledge of English to understand what the doctor/nurse tell them?
15. How do you rate your waiting time to have your telephone call answered?
16. If you seek assistance from a doctor in out of hours do you:
17. Do you feel that you are given enough time with your GP?
18 a. Are you aware that the practice has a web site?
18 b. If yes do you use it?
19. How satisfied are you with the service provided by Lloyd's Pharmacy next to the practice?
20. Would you be willing for your patient-identifiable records to be shared with NHS England or other 3rd parties for the interpretation of health trends?