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  2. 2016
  3. May
  4. P
  5. Patient Transport Survey
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Questions marked with a * are required Exit Survey
 
 
* Please select your age range.
 
Under 21
 
21-30
 
31-40
 
41-50
 
51-60
 
61-70
 
71-80
 
Over 80
 
 
 
* On average, how often do you visit the surgery?
 
More than once a week
 
Once a week
 
Once a fortnight
 
Once a month
 
Once every 3 months
 
Once every 6 months
 
Once a year
 
Less than once a year
 
 
 
* Generally, are your appointments of an urgent nature, or are you able to book them in advance, for example the week before?
 
Appointments are usually urgent
 
Appointments can be booked in advance
 
 
 
Are you limited in time of day or day of the week you can visit the surgery?
 
No
 
Outside of working hours only (before 9am, after 5pm)
 
Other
 
 
 
How do you usually travel to/from the surgery?
 
Personal car
 
Public transport (bus)
 
Taxi
 
Family member's car
 
Friend's car
 
On foot
 
 
 
* Do you experience any problems with your travel to and from the surgery?
 
No
 
Yes
 
If yes, please specify:
 
 
 
If you experience transport problems, what is this problem related too?
 
It is expensive to travel to/from the surgery
 
Public transport is not frequent enough
 
I have restricted mobility (e.g. need to travel in a wheelchair or use a walking frame)
 
Other, please specify:
 
 
 
If travel is expensive, what is the average cost of a round trip to the surgery?
 
Less than £5
 
£5 to £10
 
£10 to £15
 
£15 to £20
 
£20 to £25
 
£25 to £30
 
More than £30
 
 
 
If public transport is not frequent enough, whereabouts are you travelling from and on average how frequent is the service?
   
 
 
 
If a minibus service operated twice a week to/from the surgery, would you be tempted to book your appointment at such a time so as to be able to use this service to travel to/from the surgery?
 
Definitely yes
 
Maybe
 
Definitely no
 
Why?