Dear Patient
We would be grateful if you would complete this survey about your general practice.
The practice wants to provide the highest standard of care. Feedback from this survey will enable them to identify areas that may need improvement. Your opinions are therefore very valuable.
Please answer ALL the questions that apply to you. There are no right or wrong answers and staff will NOT be able to identify your individual responses
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Patient satisfaction questionnaire
1. In the past 12 months how many times have you seen a doctor in this practice?

2. How do you rate the way you were treated by receptionists at this practice?

3a. How do you rate the hours that the practice is open for appointments?

3b. What additional hours would you like the practice to be open?
     (Please tick all that apply)

4. If you need to see a GP urgently, can you normally get seen on the same day?

5a. How long do you usually have to wait at the practice for your consultation to      begin?

5b. How do you rate the answer to 5a?

6a. Thinking of times you have phoned the practice,how do you rate the following?      Ability to get through to the practice on the phone

6b. Ability to speak to a doctor on the phone when you have a question or need      medical advice

7a. Rate how thoroughly your doctor asks about your symptoms and how you are      feeling

7b. Rate how well the doctor listens to what you have to say

7c. Rate how well the doctor puts you at your ease during your medical examination

7d. Rate how much the doctor involves you in decisions about your care

7e. Rate how well the doctor explains your problems or any treatment that you need

7f. Rate the amount of time your doctor spends with you

7g. Rate the doctors patience with your questions or worries

7h. Rate the doctors caring and concern for you

8. After seeing the doctor do you feel
A) able to understand your problem(s) or illness

B) able to cope with your problem(s) or illness

C) able to keep yourself healthy

Finally, it will help us to understand your answers if you could tell us a little about yourself.
9. Are you?

11. Do you have any longstanding illness, disability or infirmity? Longstanding      means anything that has or is likely to affect you over a period of time

12. Which ethnic group do you belong to?

13. Is your accomodation?

14. Which of the following best describes you?

15. We are interested in any other comments you may have. Please type them below.

Thank you for taking the time to complete this questionnaire