Patient Questionnaire 2016

This questionnaire is designed for issue to patients to assess the service provided.

You can help the Practice to improve its service.

• The doctors and staff welcome your feedback
• Please do not write your name on this survey
• Please read and complete this survey while waiting for your appointment

Are you seeing?
o Doctor
o Practice Nurse

Please tick as appropriate

Access to a Doctor or Nurse

1. Speed at which the telephone was answered initially


2. Length of time you had to wait for an appointment


3. Convenience of day and time of your appointment


4. Seeing the Doctor of your choice


5. Length of time waiting to see the Doctor or Nurse


6. Opportunity of speaking to a Doctor or Nurse on the telephone when necessary


7. Opportunity of obtaining a home visit when necessary


8. Level of satisfaction with the after- hours service


Obtaining a repeat prescription

9. Prescription ready on time


10. Prescription correctly issued


11. Handling of any queries


12. Electronic Prescription Service (convenience, ease of use etc.)


Obtaining test results

13. Were you told when to contact us for your results?


14. Results available when you contacted us


15. Level of satisfaction with the amount of information provided


16. Level of satisfaction with the manner in which the result was given


About the staff

17. The information provided by the Reception staff


18. The helpfulness of the Reception staff


19. The information provided by other staff


20. The helpfulness of other staff


And finally

21. My overall satisfaction with this Practice


Any further comments or suggestions:

The following questions provide us only with general information about the range of people who have responded to this survey. It will not be used to identify you, and will remain confidential.

How old are you?

Are you male or female?

How many years have you been attending this Practice?

Thank you very much for your time and assistance