Survey on GP services at Probus Surgery
Are you currently registered as a patient with Probus Surgery?
If not, please tell us where are you registered
Which surgery site do you use most frequently?
Is there a particular reason why you choose to attend this site?
Which services do you currently access at the surgery site you use most frequently?
Do you use any other services at your most frequently used practice?
Have you been asked by the practice to travel to a surgery other than the one you usually attend for services?
If so, or if you were asked to do so in future (e.g. to get a quick appointment or for a specialist service), how easy would this be?
In terms of your health, would you describe yourself as:
How do you get to your GP surgery for an appointment?
Other (please specify)
How long does it take to get to your usual surgery site?
If you drive to your usual surgery, how easy is it to park?
If parking is difficult or very difficult, please tell us more:
How easy is it to get into the building when you arrive?
If access is difficult or very difficult, please tell us more:
We want to understand the impact on you if one/or more of the surgery sites listed was closed but medicine collection points remained. Tick the box to indicate which sites closing would impact you:
Tell us about the impact it would have on you as a patient if you were unable to access GP or nurse appointments from the site you use most frequently?
As a dispensing patient, what would the impact be on you if the Grampound site were to close and you were asked to collect medicines from the Grampound shop?
And will you find this:
Looking to the future, what health services that are not currently available do you think should be provided locally?
Have you any other comments about the service we currently provide, or what you’d like to see in the future?
Equalities monitoring
We are committed to providing equal access to health services to people from all sections of the community. Your answers to the following questions will help us to plan local health care, as well as identify any groups of people who we are not hearing from.
Responding to these questions is entirely voluntary and any information you provide will remain anonymous.
Which age group do you belong to?
What is your gender?
Is your gender different to the one you were assigned at birth?
Marital status
Do you have a religion or belief?
Other (Please specify)
Which ethnic group do you belong to?
Other (please specify)
Have you any children? If so, how many and what are their ages?
Do you consider yourself to be the main carer of someone who needs your help because of their old age or disability?
Do you consider yourself to have a disability?
Other (please specify)