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Wordsworth Health Centre - Patient Satisfaction Survey
1.
Name (Optional)
2.
Date of Birth (Optional)
3.
How easy is it to get through to someone at your GP practice on the phone?
Very easy
Somewhat easy
Neither easy nor difficult
Difficult
Very difficult
4.
How helpful do you find the receptionists at your GP practice?
Very helpful
Fairly helpful
Not so helpful
Not at all helpful
5.
How satisfied are you with the general practice appointment times that are available to you?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
6.
How often do you see or speak to your preferred GP when you would like to?
Always
Usually
Rarely
Never
7.
On this occasion, were you offered any of the following choices of appointment?
Yes, a choice of place (for an appointment in person)
Yes, a choice of time or day
Yes, a choice of healthcare professional
Yes, a choice of type of appointment (phone call, online, video call, in person)
None of these
8.
Were you satisfied with the appointment (or appointments) you were offered?
Yes, and I accepted an appointment
No, but I still took an appointment
No, and I did not take an appointment
9.
Overall, how would you describe your experience of making an appointment?
Very good
Fairly good
Neither good nor poor
Fairly poor
Very poor
10.
Were you given a time for the appointment?
Yes, I was given a set time
I was told I would be contacted between two times or during a set period such as a morning or afternoon
No, I was not given a time
11.
Last time you had a general practice appointment, how good was the healthcare professional at giving you enough time?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
12.
Last time you had a general practice appointment, how good was the healthcare professional at listening to you?
Very good
Good
Neither good nor poor
Poor
Very poor
13.
Last time you had a general practice appointment, how good was the healthcare professional at treating you with care and concern?
Very good
Good
Neither good nor poor
Very poor
14.
During your last general practice appointment, did you feel that the healthcare professional recognized and/or understood any mental health needs that you might have had?
Yes, definitely
Yes, to some extent
No, not at all
15.
During your last general practice appointment, were you involved as much as you wanted to be in decisions about your care and treatment?
Yes, definitely
Yes, to some extent
No, not at all
16.
During your last general practice appointment, did you have confidence and trust in the healthcare professional you saw or spoke to?
Yes, definitely
Yes, to some extent
No, not at all
17.
Thinking about the reason for your last general practice appointment, were your needs met?
Yes
To some extent
No
18.
In the last 12 months, have you had enough support from local services or organisations to help you to manage your condition (or conditions)?
Yes
To some extent
No
19.
Overall, how would you describe your experience of your GP practice?
Very good
Good
Neither good nor poor
Poor
Very poor
Thinking about your response to the question, what is the main reason you feel this way?
20.
Are you?
Male
Female
21.
What age are you?
0-15
16-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
22.
Do you consider yourself to have a disability
Yes
No
23.
Which of the following best describes your ethnic background
White
Asian or Asian British
Mixed
Black or Black British
Other