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Thank you for taking part in the Ashington House Surgery Survey 2013. Please can you complete the demographic information first and then we have 15 questions relating to a number of practice issues. There is also a box to add any additional comments. Please select relevant box
Section 1 - About You
Q1. Are you
Q2. What age are you?
Q3. Do you have children?
Q4. Are you a single parent?
Q5. Have you been in the HM Forces?
Q6. Do you have a disability
Q7. Are you...
Q8. Ethnicity. We are required to ask your ethnicity please decline if you do not wish to share this information.
Section 2 - About the Practice
Q1. When was the last time you made an appointment to see a Doctor or Nurse at the practice?
Q2. Are you aware that we open from 7am on a Wednesday and Friday morning and until 7.30pm on a Tuesday evening for both Doctor and Nurse prebooked appointments?
Q3. Are you aware there are different types of appointments? eg Book on the day, pre bookable and minor ailments
Q4. As a patient do you feel you are kept well informed about your condition?
Q4a About the practice?
Q4b About the NHS?
Q4c About Patient Representation in Swindon?
Q5. We have recently introduced online appointments, online prescriptions and 24 hr telephone cancellation answering service. Did you know these services were available?
Q6. Did you know we have a website, where you can find out lots of information about the practice?
Q7. If you have NOT used our online repeat prescription service is this because you?
Q8. If you HAVE used the online repeat prescription service, how did it compare to the email or manual system?
Q9. The practice has a very supportive Patient Participation Group, if you would like to be involved would you like to be involved in a vertual group, with contact through email only or would you prefer to be part of group.
Q10. If your GP suggests that you are referred to a specialist how important is a choice of treatment centre?
Q11 Please recall your last visit to the pracitce, please rate the warmth of the greeting from the Doctor/Nurse.
Q12 Please recall your last visit to the practice, pleae rate the warmth of the greeting from the reception staff.
Q13. Please recall your last visit to the practice, please rate the level of privacy / confidentiality shown to you.
Q13. Please recall your last visit to the pracitce, please rate whether you left the surgery feeling reassured.
Q14. What is your overall satisaction with the practice?
Finally........
Q15. What is your overall satisfaction with the NHS?
Are there any comments you wish to make? If you would like an answer to any specific comments, please let us have your name address and email.