2
Dear Patient,
Many thanks for agreeing to take this short survey to help our practice understand how our appointment system can be improved, if at all.
Please answer all of the questions and click 'Send Survey' when you are done.
1 Did staff involve you as much as you wanted in decisions about your care?
2 Whilst you were using our services did you feel that you were treated with dignity and respect?
3 Were you given enough time to discuss your health, medical problem and medication with health professionals?
4 Did staff explain and give you appropriate information about your treatment or care in a way that you could understand?
5 Do you feel that staff listened to you?
6a Were you seen at the surgery?
6b If yes, how clean, in your opinion, is the environment
7a On this occasion (or the last time you contacted us) did you want to talk to a GP within 48 hours?
7b If yes, were you able to?
8 Did you feel safe on our premises whilst you were using the service? (examples to consider would include environmental factors and other clients)
9 Overall, how satisfied are you with your experience of this service? (on a scale of 1-5 with 1 = not at all and 5 = excellent
10 Do you like the opportunity to have phone consultations with your doctor?
12 If we were to provide more appointments at different times, which option would be best for you?
We really do appreciate your feedback so please add any further comments below?
0
About You
Please remember that you do not have to answer any of these questions and you can choose to answer only some of them if you wish. Answering these questions is completely optional.
I am….
Thank you for taking the time to complete this questionnaire.