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Improving the Practice Questionnaire 2013/14
Please put a tick against the type of clinician you are seeing
Name of clinician you are seeing
Have you asked to specifically see this clinician
If so why?
Would you be happy to see an alternative clinician?
If not, why?
Speed at which the telephone was answered initially
Length of time you had to wait for an appointment
Convenience of day and time of your appointment
Seeing the doctor of your choice
Length of time waiting to check in with reception
Length of time waiting to see the doctor
Length of time waiting to see the nurse
Opportunity of speaking to a doctor or nurse on the telephone when necessary
Opportunity of obtaining a home visit when necessary
Prescription ready on time
Prescription correctly issued
handling of any prescription queries
Were you told when to contact us for your results
Were the results available when you contacted us
Level of satisfaction with the amount of information provided
Level of satisfaction with the manner in which the result was given
The information provided by the reception staff
The helpfulness of the reception staff
The infomation provided by clinical staff ie doctors, nurses and HCAs
The helpfulness of the clinical staff
My overall satisfaction with this practice
Any further comments
How old are you
Are you male or female