Toft Road Surgery

Toft Road Surgery Patient Questionnaire

Thank you for taking the time to fill out this questionnaire. This has been put together with the help of the Toft Road Surgery Patient Participation Group. It is not a national survey.

The aim of this survey is to get your views on how we can make the running of the surgery even better.

Once complete the results will be available to view on this website.

How did you make your last appointment at the surgery?
Telephone
In person
Internet
Was your appointment confirmed by a text message?
Yes		No
Would you like or prefer a telephone consultation
Yes		No
Have you been referred to a hospital?
Yes		No
If Yes, did the doctor explain to you that you have a choice of hospital
Yes		No

 

1. In the past 12 months, how many times have you seen a doctor from your practice? None Once or Twice Three or Four times Five or Six times Seven times or more 2. How do you rate the way you are treated by receptionists at your practice? Very Poor Poor Fair Good Very Good Excellent 3. a) How do you rate the hours that your practice is open for appointments? Very Poor Poor Fair Good Very Good Excellent 3. b) What additional hours would you like the practice to be open? (Please tick all that apply) Early Morning Lunch Times Evenings Weekends None, I am Satisfied 4. Thinking of times when you want to see a particular doctor: (please tick one box only) a) How quickly do you usually get to see that doctor? Same Day Next Working Day Within 2 Working Days Within 3 Working Days Within 4 Working Days 5 or more Working Days Does not apply b) How do you rate this? Very Poor Poor Fair Good Very Good Excellent Does not apply 5. Thinking of times when you are willing to see any doctor: (please tick one box only) a) How quickly do you usually get seen? Same Day Next Working Day Within 2 Working Days Within 3 Working Days Within 4 Working Days 5 or more Working Days Does not apply b) How do you rate this? Very Poor Poor Fair Good Very Good Excellent Does not apply 6. If you need to see a GP urgently, can you normally get seen on the same day? Yes No Don't know/never needed to 7. a) How long do you usually have to wait at the practice for your consultations to begin? (please tick one box) 5 mins or less 6-10 mins 11-20 mins 21-30 mins more than 30 mins 7. b) How do you rate this? Very Poor Poor Fair Good Very Good Excellent 8. Thinking of times you have phoned the practice, how do you rate the following: a) Ability to get through to the practice on the phone? Very Poor Poor Fair Good Very Good Excellent b) Ability to speak to a doctor on the phone when you have a question or need medical advice? Very Poor Poor Fair Good Very Good Excellent THE NEXT QUESTIONS ASK ABOUT YOUR USUAL DOCTOR. IF YOU DON'T HAVE A 'USUAL DOCTOR', ANSWER ABOUT THE ONE DOCTOR AT YOUR PRACTICE WHO YOU KNOW BEST. IF YOU DON'T KNOW ANY OF THE DOCTORS, GO STRAIGHT TO QUESTION 11. 9. a) In general, how often do you see your usual doctor? Always Almost Always A lot of the time Some of the time Almost never Never 9. b) How do you rate this? Very Poor Poor Fair Good Very Good Excellent 10. Thinking about when you consult your usual doctor, how do you rate the following: a) How thoroughly the doctor asks about your symptoms and how you are feeling? Very Poor Poor Fair Good Very Good Excellent Does not apply b) How well the doctor listens to what you have to say? c) How well the doctor puts you at ease during your physical examination d) How much the doctor involves you in decisions about your care? e) How well the doctor explains your problems or any treatment that you need? f) The amount of time your doctor spends with you? g) The doctor's patience with your questions or worries? h) The doctor's caring and concern for you? 11. Have you seen a nurse from your practice in the past 12 months? Yes - Go to question 12 No - Go to question 13 12. Thinking about the nurse(s) you have seen, how do you rate the following: a) How well they listen to what you say? Very Poor Poor Fair Good Very Good Excellent b) The quality of care they provide? c) How well they explain your health problems or any treatment that you need? FINALLY, IT WILL HELP US TO UNDERSTAND YOUR ANSWERS IF YOU COULD TELL US A LITTLE ABOUT YOURSELF 13. Are You: Male Female 14. How old are you? years 15. Do you have any long-standing illness, disability or infirmty? By long-standing we mean anything that has troubled you over a period of time or that is likely to affect you over a period of time. Yes No 16. Which ethnic group do you belong to? (please tick one box) White Black or Black British Asian or Asian British Mixed Chinese Other ethnic group 17. Is your accommodation: (please tick one box) Owner-occupied/mortgaged? Rented or other arrangements? 18. Which of the following best describes you? (please tick one box) Employed (full or part time, including self-employed) Unemployed and looking for work At school or in full time education Unable to work due to long term sickness Looking after your home/family Retired from paid work Other (please describe) 19. We are interested in any other comments you may have. Please write them here. Is there anything particularly good about your health care? Is there anything that could be improved? Any other comments? Please enter the word below

Thank you for taking time to complete this questionnaire.