Dear Patient,

Many thanks for agreeing to part in take this survey to help us understand how our services can be improved.

If you would be happy for us to email you twice a year as part of our Virtual Patient Participation Group, please supply your email address at the end of the survey.

Please answer all of the questions and click 'Send Survey' when you are done.

Surgery Overview

Q1. How easy do you find access into the surgery ?

 
 
 
 

Q2. How clean is the GP surgery ?

 
 
 
 
 

Q3. In the Reception Area, can other patients overhear what you say to the receptionist?

 
 
 
 

Q4. How helpful do you find the information available at the surgery ?

 
 
 
 

Q5. Where do you normally look for information? (Tick all that apply)

 

 

 

 

 

Staff

Q6. How quickly do we answer the phone when you ring the surgery?

 
 
 
 

Q7. How helpful do you find the receptionists at the surgery ?

 
 
 
 

Q8. How easy is it to speak to a dispenser?

 
 
 
 

Q9. How helpful do you find the dispensers at the surgery ?

 
 
 
 

Q10. If you have needed to speak to the Practice Manager or member of the Administration team, how helpful were they?

 
 
 
 
 

Appointments & Services

Q11. How long after your appointment time do you normally wait to be seen?

 
 
 
 
 
 
 

Q12. How do you feel about how long you normally have to wait ?

 
 
 
 

Q13. Thinking about your last GP appointment, were you? (Tick all that apply)

 

 

 

 

 

Q14. How would you rate your last GP appointment?

 
 
 
 
 

Q15. Thinking about your last Nurse or Health Care Assistant (HCA) appointment, were you?

 

 

 

 

 

Q16. How would you rate your last Nurse / HCA appointment?

 
 
 
 
 

Q17. How do you feel about how long you have to wait for medication orders?

 
 
 
 

Q18. How did you book your last appointment with a GP?

 
 
 

Q19. How did you request your last medication order?

 
 
 

Q20. If you use our online booking / ordering service, how easy do you find it to use?

 
 
 


Any other comments or ideas?


To help us ensure we have received views from a range of patients, please tell us a few things about yourself:

Are you male or female?

 
 

What age are you?

 
 
 
 
 
 
 
 
 

Please tick any of the following statements you feel apply to you:

 

 

 

 

 

 

 

 

 

How would you describe how often you come to the practice?

 
 
 


If you would like to become part of our Virtual Patient Participation group, please leave your details below

Many thanks for your time in answering the questions on this survey.

Name / Tel No / Email or Postal Address