160

Dear Patient,

Thank You for agreeing to complete this practice questionnaire, your feedback will help us to continue to provide a high standard of healthcare and to identify areas that may need improvement.

Patient Experience

Q1: How clean is the practice?

Very clean

Fairly clean

Not very clean

Not at all clean

Don't know

Q2: How easy is it for you to access the practice?

Very easy

Fairly easy

Not very easy

Not at all easy

Q3: How easy is it to get through to someone at the practice by phone?

Not very easy

Fairly easy

Very easy

Q4: Are our opening hours convenient for you?

Yes

No

Don't know

Q5; How helpful do you find the practice receptionists?

Very helpful

Fairly helpful

Not very helpful

Not helpful at all

Don't know

Q6: How easy was it to get an appointment for the time you wanted?

Not very easy

Fairly easy

Very easy

Q7: Were you able to see the GP you wanted to see?

No

Did not want specific GP

Yes

Q8: How easy was it to get an appointment with the GP you wanted to see?

Not very easy

Fairly easy

Very easy

Q9: How important is it to you that you see a specific GP when coming to this practice?

Prefer not to say

Not at all important

Fairly important

Very important

Q10: How long do you normally wait to be called into your consultation?

Less than 5 minutes

5-10 minutes

11-20 minutes

21-30 minutes

Does not apply

Thinking about your most recent consultation with a doctor, nurse or health care assistant, how good were they at:

Q11: Giving you enough time?

Very good

Good

Fair

Poor

Very poor

Does not apply

Q12: Listening to you?

Very good

Good

Fair

Poor

Very poor

Does not apply

Q13: Explaning tests,results and treatments?

Very good

Good

Fair

Poor

Very poor

Does not apply

Q14: Involving you in decisions about your care?

Very good

Good

Fair

Poor

Very poor

Does not apply

Q15: Treating you with care and concern:

Very good

Good

Fair

Poor

Very poor

Does not apply

Q16: Did You have confidence and trust in the doctor, nurse or health care assistant you saw?

Yes definitely

Tosome extent

No, not at all

Don't know / can't say

If you know the name of the doctor, nurse or health care assistant you saw, please write it here


To help us analyse your answers please tell us a few things about yourself:

Are you male or female?

Male

Female

What age are you?

Under 16

17 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65 - 74

75 - 84

Over 84

What is the ethnic background with which you most identify?

White British

White Irish

Mixed White & Black Caribbean

Mixed White & Black African

Mixed White & Black Asian

Indian

Pakistani

Bangladeshi

Black Caribbean

Black African

Chinese

Other

How would you describe how often you come to the practice?

Regularly

Occasionally

Very Rarely

Many thanks for your time in answering the questions on this survey.