Gossops Green Medical - Improving our Practice

INTRODUCTION

This questionnaire is designed for issue to patients to assess the service provided. It has been developed in consultation with our Patient Participation Group/ Patient Reference Group

Questionnaire

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

Who did you see today?

 
 

Name of Doctor/Practice Nurse (if applicable)

Access to a Doctor or Nurse

Time in which the telephone was answered initially

 
 
 
 
 
 

Length of time you had to wait for a telephone call (Triage) or appointment

 
 
 
 
 
 

Ability to be seen quickly when necessary

 
 
 
 
 
 

Convenience of day and time of your appointment

 
 
 
 
 
 

Seeing the doctor/Nurse of your choice

 
 
 
 
 
 

Length of time waiting to check in with Reception

 
 
 
 
 
 

Length of time waiting to see the Doctor or Nurse

 
 
 
 
 
 

Opportunity of obtaining a home visit when necessary

 
 
 
 
 
 

Satisfaction with your consultaiton with the doctor or nurse

 
 
 
 
 
 

Obtaining a repeat prescripton or Medication

Prescription/medications ready on time

 
 
 
 
 
 

Prescription/medications correctly issued

 
 
 
 
 
 

Handling of queries

 
 
 
 
 
 

Obtaining test results

Were you told when to contact us for your results

 
 
 
 
 
 

Results available when you contactes us

 
 
 
 
 
 

Level of satisfaction with the amount of information provided

 
 
 
 
 
 

About the Staff

The information provided by the reception staff

 
 
 
 
 
 

The helpfulness of the Reception Staff

 
 
 
 
 
 

The information provided by other Staff

 
 
 
 
 
 

The Helpfulness of other staff

 
 
 
 
 
 

And Finally

Suitability of the practice premises

 
 
 
 
 
 

Cleanliness of the practice premises

 
 
 
 
 
 

Overall Satisfaction with this practice

 
 
 
 
 
 

Any Further Comments

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

Age Group

 
 
 
 
 
 
 
 

How many Years have you been attending this Practice

Thank you very much for your time and assistance it is very much appreciated by all of us.