Patient Questionnaire 2014

We would appreciate your feedback on our service. Please complete the following questionniare. The results of this survey and any comments you mare will be discussed with the Patient Participation Group and help shape the future of the practice. 

Patient Questionnaire

Section One: Booking Appointments

Q1. Did you get an appointment at a time you wanted?

Q1a. If you answered no to Q1, please indicate how long you had to wait for a suitable appointment

Q2. Have you used our on-line services?

If you are interested in registering for on-line services, please ask at reception or call the surgery.

Q2a. If you answered no to Q2, please tell us why.

Q3. If booking by phone, how easy did you find it to book an appointment?

Section Two: Staff at the Practice

Q4. How would you rate the helpfulness of the receptionists at the Surgery?

Further Comments

Q5. Do you feel the GP/Nurse gave you enough time in your appointment?

Further Comments

Q6. Do you feel the GP/Nurse listened to you?

Further comments

Q7. Do you feel the GP/Nurse adequately explained your tests and treatments?

Additional Comments

Q8. Do you feel the GP/Nurse involved you in decisions about your care?

Q9. Do you feel the GP/Nurse treated you with care and concern?

Q10. How would you rate your trust and confidence in the GP/Nurse?

Q11. What is your impression of the waiting time at the Surgery?

Q12. Please read the information below about Nurse Practitioners. If we were to have a Nurse Practitioner at the Surgery, would you be willing to see them in lieu of a GP?

Nurse Practitioners can provide treatment and advice for many problems for which you may have seen a doctor in the past. Their main area of expertise is the management of common/minor illnesses and minor injury. Nurse Practitioners can assess and examine you, make a diagnosis and provide treatment and advice including a prescription if required. They can make referrals to most hospital doctors or other health care professionals, and admit patients into hospital where necessary.

Section Three: The Surgery

Q13. Are you fully aware of the times the Surgery is open?

Q14. When the Surgery is closed, what out of hours services are you aware of/would use if you needed urgent help?

Q15. Do you feel the waiting room is suitable for its purpose?

Q16. Do you feel the clinical rooms are suitable for their purpose?

Q17. What improvements (if any) would you like to see to the Surgery premises?

Section Four: Other Questions

Q18. By what methods would you be willing to receive communication FROM the Surgery?

Q19. By what methods would you like to communicate WITH the Surgery?

*** Please note the Surgery does not currently have the capacity to use emails for patient contact***

Q20. Space for any additional comments.

We would like to know a little about you so we can make sure we are accurately collecting information from a representation of our patient population. Please tell us a little about yourself.

What is your ethnic group?

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