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Please answer the questions below by putting a cross in ONE of the boxes. The purpose of the survey is to help inform the practice in making improvements to its services. The survey has been compiled in conjunction with our Patient Reference Group and is an opportunity for you to provide completely anonymous feedback. There is a box at the end of the survey where you can make any additional comments.
ACCESSING YOUR GP SERVICES
Q1 When did you last see or speak to a GP from the practice?
Q2 When did you last see or speak to a nurse from the practice?
Q3 Generally, how easy is it to speak to someone at the practice on the phone?
Q4 How helpful do you find the reception service at the practice?
Q5 How often do you see or speak to the GP or nurse you prefer?
MAKING AN APPOINTMENT
Q6 Last time you contacted the practice, what did you want to do?
Q7 When did you want to see or speak to them?
Q8 Did you get an appointment to see or speak to someone?
Q9 What type of appointment did you get? I got an appointment
Q10 How long after initially contacting the surgery did you actually see or speak to them?
Q11 How convenient was the appointment you were able to get?
Q12 If you were not able to get an appointment or the appointment you were offered wasn't convenient, why was that?
Q13 What did you do on that occasion?
Q14 Overall, how would you describe your experience of making an appointment?
WAITING TIMES AT THE PRACTICE
Q15 How long after your appointment time do you normally wait to be seen?
Q16 How do you feel about how long you normally wait to be seen?
OPENING HOURS
Q17 How satisfied are you with the hours that the practice is open?
LAST GP APPOINTMENT
Q18 Was your consultation on the phone?
Did you receive the call within the promised time slot?
Q18a Last time you saw or spoke to a doctor from the practice, how good was he or she at each of the following?
Giving you enough time
Listening carefully to your whole story
Treating you with care and concern
Explaining diagnosis, tests, treatments clearly
Taking a positive attitude to your problem
Involving you in decisions about your care and treatment
Providing you with a clear plan of future action
Q19 How would you rate your level of confidence and trust in your doctor?
LAST NURSE APPOINTMENT
Q20 Was your consultation on the phone?
Did you receive the call within the promised time slot?
Q20a Last time you saw or spoke to a nurse from the practice how good was she at each of the following?
Giving you enough time
Listening carefully to your whole story
Treating you with care and concern
Explaining diagnosis, tests, treatments clearly
Taking a positive attitude to your problem
Involving you in decisions about your care and treatment
Providing you with clear plan of future action
Q21 How would you rate your confidence and trust in your nurse?
OVERALL EXPERIENCE
Q22 Overall how would you describe your experience of our practice?
Q23 Would you recommend our practice to someone who has just moved to your local area?
In order to make sure we try and survey a representative sample of the patients that are registered at this practice would you please provide the following information?
Are you male or female?
How old are you?
What is your ethnic group?
A. White
B. Mixed/multiple ethnic groups
C. Asian/Asian British
D. Far Eastern
E.Black/African/Caribbean/Black British
F.Other Ethnic Group
Thank you for your time.
Please feel free to add any comments you may have in the box below.
Remember that responses to this survey form are completely anonymous and cannot be linked to any individual patient.
THANK YOU FOR YOUR CO-OPERATION IN COMPLETING THIS FORM