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Your views really matter to us at The Caxton Surgery. We would be grateful if you would help us to help you by completing our annual questionnaire. The doctors want to provide the highest standard of care possible and feedback from this form is essential to help identify areas that you believe may need improvement.
QUESTIONNAIRES NEED TO BE COMPLETED AND RETURNED BY 17th FEBRUARY
DEMOGRAPHICS
It will help us to understand your answers if you can tell us a little bit about yourself: (optional)
Q1. Which category best describes you?
Q2. Are you?
Q3. How old are you?
Q4. Do you have a long standing health condition?
Q5. What is your ethnic group?
OPENING TIMES
Q6. Is the surgery currently open at a time convenient to you?
Q7. Are you aware that we have a nurse available on a Thursday evening and a doctor and nurse available on a Saturday morning for pre-booked appointments?
If the answer to question 6 was no, please comment here:
RECEPTIONISTS
Q8. How helpful do you find the receptionists at the surgery?
Q9. How easy is it to get through to someone at the surgery on the telephone?
Q10. When you last telephoned the surgery, how long did you wait for a response?
FACILITIES
Q11. How satisfied are you with the entrance and waiting room?
Q12. If there was something relatively simple we could implement to improve our facilities or service, what would it be?
Comment
Q13. Is there any health topics you would like to read about on the notice boards?
Comment
APPOINTMENTS
Q14. How easy is it to speak to a doctor or nurse on the telephone?
Q15. If you need to see a GP urgently, can you normally get seen on the same day?
If No please state how many days you had to wait
Days
Q16. How important is it to you to be able to book your appointments ahead of time?
Q17. How easy is it to book ahead?
Q18. Are you aware you can book your appointments on line?
Q19. Which of the following methods would you prefer to use to book appointments?
PATIENT ACCESS
Thinking of times when you want to see a particular doctor
Q20. How quickly do you usually get seen by a doctor of your choice?
Q21. How do you rate this?
Thinking of times when you are willing to see any doctor:
Q22. How quickly do you usually get seen?
Q23. How do you rate this?
Thinking of the most recent consultation with a doctor or nurse:
Q24. Compared to your booked appointment time, when were you called to see the doctor/nurse?
Q25. How do you rate this?
About seeing the doctor of your choice
Q26. Is there a particular GP you usually prefer to see?
Q27. Is this important because of?
PATIENT CARE
How would you rate the last Doctor you saw at each of the following:
Q28. Giving you enough time?
Q29. Listening to you?
Q30. Explaining tests and treatments?
Q31. Involving you in decisions about your care?
Q32. Treating you with care and concern?
Q33. Respecting your dignity?
Q34. Did you have confidence and trust in the GP you saw?
How would you rate the last nurse you saw at each of the following:
Q35. Giving you enough time?
Q36. Listening to you?
Q37. Explaining tests and treatments?
Q38. Involving you in decisions about your care?
Q39. Treating you with care and concern?
Q40. Respecting your dignity?
Q41. Did you have confidence and trust in the nurse you saw?
Thinking about the care you get from both your doctors and nurses overall, how well do they help you to:
Q42. Understand your health problems?
Q43. Cope with your health problems?
Q44. Keep yourself healthy?
GENERAL SERVICE
Q45. Overall, how would you describe your experience of your GP surgery?
Q46. Would you recommend your GP surgery to someone who has just moved to the area?
THANK YOU