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(This questionnaire is based on issues that have arisen after discussion with members of our Patient Participation Group - PPG)
Q1 Overall how would you describe your experience of your GP surgery?
Q2 When did you last see or speak to a GP from your GP surgery?
Q3 When did you last see or speak to a nurse from your GP surgery?
Q4 Generally, how easy is it to get through to someone at your GP surgery on the phone?
Q5 How helpful do you find the receptionists at your GP surgery?
Q6 In the reception area, can other patients overhear what you say to the receptionist?
Q7 How do you normally book yourappointments to see a GP or nurse at yourGP surgery?
Please tick all the boxes that apply to you
Q8 Which of the following methods would you prefer to use to book appointments at your surgery
Please tick all the boxes that apply to you
Q9 Is there a particular GP you usually prefer to see or speak to?
Q10 How often do you see or speak to the GP you prefer?
Q11 Last time you wanted to see or speak to a GP or nurse from your GP surgery: What did you want to do?
Q12 And when did you want to see or speak to them?
Q13 Were you able to get an appointment to see or speak to someone?
Q14 What type of appointment did you get? I got an appointment…
Q15 How long after initially contacting the surgery did you actually see or speak to them?
Q16 How convenient was the appointment you were able to get?
Q17 If you weren’t able to get an appointment or the appointment you were offered was not convenient, why was that?
Q18 What did you do on that occasion?
Q19 Overall, how would you describe your experience of making an appointment?
WAITING TIME S
Q20 How long after your appointment time do you normally wait to be seen?
Q21 How do you feel about how long you normally have to wait to be seen?
OPENING HOURS
Q22 How satisfied are you with the hours that your GP surgery is open?
Q23 Is your GP surgery currently open at times that are convenient for you?
If no please type in your preference
Q24 Which of the following additional opening times would make it easier for you to see or speak to someone? Please tick all the boxes that apply to you
OVERALL EXPERIENCE
Q25 Would you recommend your GP surgery to someone who has just moved to your local area?
SOME QUESTIONS ABOUT YOU
Q26 Are you male or female?
Q27 How old are you?
Q28 What is your ethnic group?
Q29 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
Do you have any other comments?