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The doctors and staff at the Pinehill Surgery would value your feedback. This will help shape or make changes to our service to you.
ABOUT THE PRACTICE
Please RATE each of the following areas by ticking ONE answer on each question.
(5=Excellent, 4=Very good, 3=Good, 2=Fair,1=Poor)
1. Ease of contacting the practice by telephone
2. Level of satisfaction with day and time of appointment(face to face or telephone consultation)
3. Contacted by a GP within a reasonable amount of time
4. Getting care for illness/injury as you required
5. Ease of ordering repeat prescriptions
6. Information on on-line services- ordering repeat prescriptions and appointments on-line
7. Ease of getting referral to consultant when you needed one
ABOUT OUR STAFF
8. Your phone calls answered promptly
9. The courtesy of the person who took your call
10. The information provided by the Reception Team
ABOUT THE DOCTOR/NURSE (whom you have seen recently)
11. Overall satisfaction with the visit to the doctor/nurse
12. The doctor's/nurse's explanation of health problems or treatments to me were
13. The extent to which I felt assured by the doctor/nurse was
14. My confidence in the doctor's/nurse's ability is
15. The opportunity the doctor/nurse gave me to express my concerns or fears was
16. The respect shown to me by the doctor/nurse was
17. The amount of time given to me for the visit was
18. The doctor's/nurse's consideration of my personal situation in deciding a treatment or advising me was
OTHER SERVICES
19. Level of satisfaction with appointment date given for consultant referral (within a reasonable waiting time)
21. Information on services available at the Chase Hospital
21. If you have attended an appointment at the Chase Community hospital in the last 6 months, please rate your satisfaction with service provided
22. Information on Out of Services
23. If you have accessed the Out of Hours service in the last 6 months, please rate your satisfaction with the level of service received
FINALLY
24. The opportunity for making compliments or complaints to this practice about its service or quality of care
25. Your overall satisfaction with the practice
26. Recommendation to friends and family
27. Any further comments about how the practice could improve their service or quality of care
28. Any further comments on other services ie secondary care services, Out of Hours service or other NHS services
ABOUT YOU
The next questions will provide us some basic information about those who took part in this survey.
29. Are you male or female
30. How old are you ?
31. What is your ethnic group ?
Please choose ONE section from A to E and tick the appropriate box to indicate your cultural background)
A. White
B. Mixed
C.Asian or Asian British
D. Black or Black British
E. Chinese or other ethnic groups
32. Which of the following best describes you ?
33. How many years have you been attending this practice ?
34. Name of the Nurse/GP you have seen recently
Thank you for your time and assistance.