Is the patient Male or Female?
How old is the patient?
What is the patient's ethnic group?
How long has the patient been a member of this Surgery?
When you contacted the surgery to book an appointment, were you able to book one?
Did you experience difficulties getting the appointment you wanted?
If so what was the main difficulty?
How helpful was the receptionist you spoke to?
What day did you want for the patient's appointment?
What time did you want the appointment?
Was this appointment to see a GP or Nurse?
How serious was the health problem?
Do you feel your health problem could have been dealt with by a telephone consultation with the GP or Nurse?
How long did you have to wait for your appointment, after your appointment time?
How acceptable did you find your waiting time?
When you visited the surgery for a consultation how happy was the patient with your/their consultation?
When you last ordered a repeat prescription how did you notify the surgery that you needed this repeat?
Did you get your prescription sent direct to a pharmacy?
Did you know you can get your prescription sent direct to a pharmacy?
If you used the online web form to order your prescription did you find it easy to use?
Do you always use the same method to order your repeat prescription?
Would you recommend this surgery to your friends and family?
What do you like most about the surgery?
Is there anything the surgery could do to improve its services in the future?