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We would be grateful if you might take a few minutes to complete this patient survey on how well we communicate with you. Your answers are important to us in providing a better service to all our patients.

Your survey responses will be strictly confidential and will not be shared. If you have any questions about this survey, please ask at reception.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
How good are we at communicating with you with information about services and general practice information?
 
Excellent
 
Very good
 
Good
 
Fair
 
Poor
 
Very Poor
 
Don't know
 
 
 
How well do we guide you to information on your particular health concern from other support services and groups?
 
All the time
 
Most of the time
 
Some of the time
 
Not very often
 
Never
 
Don't know / not sure
 
 
 
How do you contact the surgery to get information about services or support groups? Please tick all that apply.
 
I telephone the surgery and speak to a receptionist
 
I visit the surgery and ask reception
 
I write to my GP
 
I make an appointment with my doctor / practice nurse
 
I read the notice board at reeption
 
I don't contact the surgery
 
I don't know / I'm not sure
 
 
 
What types of information are important to you? (Select all that apply)
 
General surgery information
 
Hospital referrals and waiting times
 
Local health issues and services
 
Cronic disease information
 
Support for carers
 
Other support groups
 
Welfare and benefits
 
Other
 

 
 
We are looking at ways to improve our communication with patients to keep you informed of developments or changes to our services and with other information. Which of the following would you use the most to learn about new services?
I would definitely use this I would sometimes use this I would rarely use this I would never use this I don't know / I'm not sure
New quarterly surgery newsletter
Surgery website
Waiting room notices
Other
 
 
 
How would you prefer to tell us how well we are doing at providing you wiht information? Please tick all that apply.
 
Suggestion box at surgery reception
 
Patient participation group
 
Website - confidential post box
 
Other

 
 
 
Are you...
 
Male
 
Female
 
Aged under 16
 
Aged 16 - 44
 
Aged 45 - 64
 
Aged 65 - 74
 
Aged 75+

 
 
 
Into which group below would you classify yourself?
 
Working full time
 
Working part time
 
In education / training
 
Carer / looking after family
 
Retired
 
Not employed
 
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