1. Are you male or female?
2. How old are you?
3. How would you best describe the ease of contacting the surgery on the telephone?
4. The surgery currently sends appointment reminders to those patients who provide us with their mobile telephone numbers. If you have experience of this how do you find this service?
Please provide additional comments:
5. Would you like to see this service expanded? For example: a reminder to contact the surgery regarding test results?
6. The surgery is wanting to improve the contact information we hold on file for patients. What would be your preferred method of contact?
7. There is currently a television in the waiting room. There have been suggestions by some patients that they wish the television to be removed and suggestions by others who like the television. What is your view?
8. In general how satisfied are you with the care you receive at the surgery?
Please enter additional comments:
9. Would you recommend the surgery to someone who had just moved to your local area?
The following questions will help us to see how experiences vary between different groups of the population. We will keep your answers completely confidential.
10. What is your ethnic group?
White:
Mixed:
Asian or Asia British:
Black or Black British:
Chinese or other ethnic group:
Thank you for taking the time to complete this survey. The results will be published on our website.