Dear Patient,
Thank you for taking part in our annual practice survey. The results help us to develop our practice and offer services which you the patient find beneficial
ABOUT APPOINTMENTS
When did you last see a Dr at the Surgery ?
| in the past 3 months | |
| between 3-6 monthsago | |
| more than 6 months ago | |
| never seen a dr | |
How do you normally book an appointment to see a dr or nurse ?
Which of the following methods would you prefer to use to book an appointment ?
GETTING THROUGH ON THE PHONE
In the past 6 months how easy have you found the following ?
| Havent tried | Very easy | Fairly easy | Not very easy | Dont know | |
| getting through on phone | | | | | | |
speaking to dr on the phone | | | | | | |
| speaking to nurse on phone | | | | | | |
| Obtaining test results by phone | | | | | | |
SEEING A DOCTOR
In the past 6 months have you tried to see a Dr fairly quickly? ( by fairly quickly we mean on the same day or in the next two working days that we were open )
Thinking about the last time you tried to see the Dr were you able to see the Dr were you able to see a Dr on the same day or in the next two working days when we were open
If you weren't able to been seen during the next 2 days why was that ?
| There weren't any appointments | |
| Times offered did not suit | |
| Appointment was with a Dr I didnt want to see | |
| Another reason | |
| Can't remember | |
In the past 6 months have you tried to book ahead for an appointment with the Dr ? ( By booking ahead we mean booking an appointment more than 2 working days in advance upto 3 months in advance )
Last time you tried , were you able to get an appointment with the Dr more than 2 working days in advance ?
Is there a particular Dr you prefer to see at the surgery ?
The last time you saw a Dr at the surgery how good was the Dr at each of the following ?
| very good | good | neither good nor poor | poor | very poor | doesnt apply |
| Giving you enough time | | | | | | |
| Asking about your symptoms | | | | | | |
| Listening | | | | | | |
| Explaining tests and treatments | | | | | | |
| Involving you in decisions about your care | | | | | | |
| Treating you with care and concern | | | | | | |
| Taking your problems seriously | | | | | | |
Did you have confidence and trust in the Dr you saw ?
| Yes definitely | |
| Yes to some extent | |
| No not at all | |
| Dont know/cant say | |
ARRIVING FOR YOUR APPOINTMENT
How do you normally arrive for your appointments ?
| Walk | |
| By Car/taxi | |
| By Bus | |
| By Bike | |
How easy do you find getting into the building ?
Very easy | |
| Fairly easy | |
| Not very easy | |
| Not at all easy | |
How clean is the surgery ?
| Very clean | |
| Fairly clean | |
| Not very clean | |
| Not at all clean | |
| Dont know | |
How helpful do you find the reception staff at the surgery ?
| very | |
| fairly | |
| not very | |
| not at all | |
OVERALL SATISFACTION
In general , how satisfied are you with the care you get at the surgery ?
| Very | |
| Fairly | |
| Neither satisifed nor dissatisfied | |
| Quite dissatisfied | |
| Very dissatisfied | |
Would you recommend the surgery to someone who had just moved into the practice area ?
| Yes | |
| Might | |
| Not Sure | |
| Probably not | |
| Definitely not | |
| Don't know | |
ABOUT YOU
Are you male or female ?
How old are you ?
| under 18 | |
| 18-24 | |
| 25-34 | |
| 35-44 | |
| 45-54 | |
| 55-64 | |
| 65-74 | |
| 74-84 | |
| 84 and over | |
Which of these best describes what you are doing at present ?
| Full time work ( more than 30hrs per week ) | |
| Part time work ( under 30hrs per week ) | |
| Full Time education | |
| Unemployed | |
| Permanently sick or disabled | |
| fully retired | |
| Looking after the home | |
| Doing somethingelse | |
AND FINALLY ....
Are you aware of our surgery web site ?
Are you aware of our Surgery Patient participation group ?
Given the choice withregard to receiving information about the surgery about changes developements etc how would you like to receive information ?
| News letter collect from surgery | |
| Text messaging | |
| Email | |
| Look on website | |
| Other please state | |
Is there any other comments you would to make with regard to the practice ?
Would you like more information about our patient participation group ?
Thank you for taking the time to complete our survey results will be published shortly after closing date