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Question 1. Have you visited the practice in the last six months?
Question 2. How quickly were you seen?
Question 3. In the past six months how easy have you found contacting the surgery by telephone?
If you do have difficulty getting through on the telephone, at which time of the day do you experience the greatest problem?
How do you think we can improve on this?
Question 4. In the past six months how easy have you found speaking to a Doctor on the telephone?
If you have had difficulty speaking to a Doctor, at which time of the day do you experience the greatest problem?
How do you think we can improve on this?
Question 5. In the past six months how easy have you found speaking to a Practice Nurse on the telephone?
If you have had difficulty speaking to a Practice Nurse, at which time of the day do you experience the greatest problem?
How do you think we can improve on this?
Question 6. In the past six months how easy have you found obtaining test results on the telephone?
If you have had difficulty obtaining test results on the phone, at which time of the day do you experience the greatest problem?
How do you think we can improve on this?
Question 7. When you last requested to see a Doctor were you seen.
How do you think we can improve on this?
Question 8. How helpful do you find the receptionists at the surgery?
How do you think we can improve on this?
Question 9. The last time you saw the Doctor how long after your appointment time did you have to wait to be seen?
How do you think we can improve on this?
Question 10. How satisfied are you with the opening hours for the surgery?
How do you think we can improve on this?
Question 11. On your last visit with the Doctor were you given enough time to discuss your medical need?
Question 12. Please answer the following questions based on your last visit to the Doctor.
Question A. Did the Doctor ask about your symptons?
Question B. Did the Doctor listen to what you had to say?
Question C. Did the Doctor involve you in the decision about your care?
Question D. Did the Doctor explain tests and treaments, and check your understanding of them?
Question E. Do you think the Doctor was taking your problems seriously?
Question F. Did you have confidence and trust in the Doctor you saw?
If you have answered No to any of these questions please give details below.
Question 13. The last time you saw a Practice Nurse at the surgery, how good did you find the practice nurse at the following?
Question A. Were you given enough time to discuss your medical need?
Question B. Did the Prctice Nurse listen to what you had to say?
Question C. Did the Practice Nurse explain tests, treaments and check your understanding of them?
Question D. Do you think the Practice Nurse was taking your problems seriously?
Question E. Did you have confidence and trust in the Practice Nurse you saw?
If you have answered No to any of these questions please give details below.
Question 14. In general, how satisfied are you with the care you get at the surgery?
Question 15. How would you describe the overall cleaniness of the surgery premises?
Please comment
Question 16. If you use your own transport to travel to the surgery how easy is it to park?
Please comment
Question 17. Please answer the following questions about yourself.
Gender
Age
White
Mixed/multiple ethnic Group;
Asian or Asian British
Black/African/Caribbean/BlackBritish
Which of these best describes what you are doing at present? If more than one of these applies to you please tick the main one only.
Thank you for completing this survey your comments are very important to us. Please use the space below for any comments or suggestions on how we can improve your experience at the surgery.