2014 Survey Questions

Improvingour  Practice Questionnaire

 

 

INTRODUCTION

 

 

This questionnaireisdesignedforissuetopatientstoassesstheserviceprovided.  Ithas  been developedinconsultationwithourPatientParticipationGroup

 

 

Questionnaire

Youcanhelp thePracticetoimproveitsservice

 

 

•   The DoctorsandStaffwelcome yourfeedback

•   Pleasedonotwriteyournameonthissurvey

•   Pleasereadandcompletethissurveywhilewaitingforyourappointment

 

 

Whoareyouseeingtoday?  Pleasetickasappropriate if you are filing this out at the Surgery

 

 

     Doctor

     PracticeNurse

 

 

 

Name ofDoctor/PracticeNurse(ifapplicable):

 

 

……………………………………………………………………………

 

 

 

PLEAS RATE   EACH     OF   THE           FOLLOWING AREAS BY       TICKING ONCE ONEACH   LINE:

 

 

 

No experience

Poor

Fair

Good

Very

Good

Excellent

Accessto  a  Doctor  orNurse

1 Speedatwhichthetelephonewas answeredinitially

 

1

2

3

4

5

2.   Lengthoftimeyouhad  towaitfor anappointment

 

1

2

3

4

5

3.   Abilitytoseeadoctorquicklywhen necessary

 

1

2

3

4

5

4.   Convenienceof dayandtimeof your appointment

 

1

2

3

4

5


 

5.   SeeingtheDoctorofyourchoice

 

1

2

3

4

5

6.   Lengthoftimewaitingtocheckin withReception

 

1

2

3

4

5

7.   Lengthoftimewaitingtoseethe

DoctororNurse

 

1

2

3

4

5

8.   OpportunityofspeakingtoaDoctor orNurseonthetelephonewhen necessary

 

1

2

3

4

5

9.   Opportunityof obtainingahome visitwhennecessary

 

1

2

3

4

5

10.Satisfactionwithyourconsultation withthedoctorornurse

 

1

2

3

4

5

Obtaining  a  repeat  prescription  ormedications

11.Prescription/medicationsready on

time

 

1

2

3

4

5

12.Prescription/medicationscorrectly

issued

 

1

2

3

4

5

13.Handling  ofanyqueries

 

1

2

3

4

5

Obtaining  testresults

14. Was the reason for tests                                                          explained in detail and understandable

 

 

1

2

3

4

5

15.Resultsavailablewhenyoucontacted us

 

1

2

3

4

5

16.Levelofsatisfactionwiththeamount of informationprovided

 

1

2

3

4

5

17.Levelofsatisfactionwiththemanner inwhichtheresultwasgiven

 

1

2

3

4

5

About  the  staff

18.The  informationprovidedbythe

Receptionstaff

 

1

2

3

4

5

19.The  helpfulnessof theReception

staff

 

1

2

3

4

5

                   

 

 

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20.The  informationprovidedbyother staff

 

1

2

3

4

5

21.The  helpfulnessof otherstaff

 

1

2

3

4

5

And  finally

22.  SuitabilityofthePracticepremises

 

1

2

3

4

5

23.   CleanlinessofthePracticepremises

 

1

2

3

4

5

24.Myoverallsatisfactionwiththis

Practice

 

1

2

3

4

5

                   

 

 

Anyfurthercomments:

 

 

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The followingquestionsprovideusonlywithgeneralinformationabouttherangeofpeoplewho have respondedtothissurvey.Itwillnotbeusedtoidentifyyou,andwill remainconfidential.

 

 

Howoldareyou?

 

Areyoumaleorfemale?

 

Howmanyyearshave  youbeenattendingthis

Practice?

 

 

Please continue onto  the targeted ServiceQuestionnaire

 

 

 

Thank  youvery  muchfor  your  time  and  assistance  it  isvery  muchappreciated  by  allofus

 

 

Pleas return your completed questionnaire to the Surgery,Reception  desk or  the  Loggerheads  Library


 

 

SURGERYTARGETED SERVICESQUESTIONNAIRE

 

 

 

  Have you ever attended your Drs Surgery for a minor injury rather than attending an A & E department?

  Please tick yes or no and give comments below.

 

 

Yes          No

 

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2.  Facilities

 

 

Whatcanwedotoimprovecurrentfacilitiesandwhatnewfacilitiesdoyouthinkweshould provideinthesurgerybuilding?

 

 

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    3  Have you had a blood test within the past 12 months, if so did you

 

a) have it done at your Drs surgery

……………………………………………………………………………………………………………….

 

………………………………………………………………………………………………………….........

 

b) had it done at a walk in centre

………………………………………………………………………………………………………………..

 

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  4  How did you travel to attend you test appointment?

 

a) Car

b) bus

c) tax

d) on foot

e) other?

 

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