How many times in the last 12 months have you seen a doctor from the practice?
The practice is open from 8am to 8pm Monday to Friday – what additional times would you like the surgery to be open?
How quickly can you usually get to see a Doctor
How would you rate this?
How quickly are you able to speak to a Doctor over the phone?
When you have telephoned the surgery, how do you rate getting through to speak to someone?
How do you rate the way you were dealt with by the receptionists?
Thinking about your most recent consultation with a Doctor, how thoroughly did the doctor ask you about your symptoms & how you are feeling?
How much did the doctor involve you in decisions about your care?
How well did the doctor explain your problems and any treatment needed?
Thinking about your most recent consultation with a Nurse, how thoroughly did the nurse ask you about your symptoms & how you are feeling?
How well did the Nurse explain your problems and any treatment needed?
How would you rate the quality of care provided by the nurse?
What is your gender?
What age are you?
Please indicate your ethnicity
Any other comments you might have