Patient Feedback Survey NORTON BROOK MEDICAL CENTRE
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Welcome to this survey
Welcome to this survey which aims to provide feedback to the practice where you are registered about the service they and the NHS in general provides to you.
This survey is completely confidential and anonymous and your answers cannot be attributed to you personally in any way.
A very small number of questions are compulsory to help us show you only relevant sections of this survey. All others are voluntary but the more answers you give us the better we can respond to the feedback.
The survey should take you 10 to 15 minutes to complete depending on how much contact you have had with the practice over the past 12 months.
Please click on the Next button below to start the survey.
You and the practice
How often do you visit the practice?
Weekly
Monthly
More than once a year
Annually
Less often
Never
Seeing a doctor or nurse
When did you last see a doctor at the practice?
ANSWER REQUIRED
In the past three months
Between three and six months ago
Between six months and twelve months ago
More than 12 months ago
I have never been seen at this practice
Have you seen a practice nurse at the practice in the last 12 months?
ANSWER REQUIRED
Yes
No
Seeing a doctor quickly
In the past 12 months have you tried to see a doctor quickly?
That is, on the same day or in the next two weekdays that the practice was open
ANSWER REQUIRED
Yes
No
Can't remember
Seeing a doctor
Is there a particular doctor who you prefer to see at the practice?
Yes
No
There is usually only one doctor at the practice
How often do you see the doctor you prefer?
Always or most of the time
A lot of the time
Some of the time
Never or almost never
Not tried at this practice
How do you normally book your appointments to see a doctor or nurse at the practice?
Please tick all that apply
ANSWER REQUIRED
In person
By phone
By fax
Online
Digital TV
Other
I don't make an appointment
Making appointments
Which of the following methods would you prefer to use to book an appointment at the practice?
Please tick all that apply
In person
By phone
By fax
Online
Digital TV
No preference
In the past six months, have you tried to book ahead for an appointment with a doctor?
That is, an appointment more than two weekdays in advance
Yes
No
Can't remember
Last time you tried, were you able to get an appointment with a doctor more than two weekdays in advance?
Yes
No
Can't remember
How easy is it for you to book an appointment with a practice nurse at the practice?
Very
Fairly
Not very
Not at all
Don’t know
Attending an appointment
How do you feel about how long you normally have to wait?
I don’t usually have to wait long
I have to wait a bit too long
I have to wait far too long
No opinion/doesn’t apply
When you last visited the practice, how much time did you spend with the doctor?
Less than five minutes
Between five and nine minutes
10 – 19 minutes
20 – 29 minutes
30-39 minutes
40 minutes or longer
Can’t remember
In your opinion was this the right amount of time?
Right amount
Too little
Too much
The practice opening hours
How satisfied are you with the opening hours at the practice?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Quite dissatisfied
Very dissatisfied
I don’t know the opening hours
Clinical care
The last time you saw a doctor or nurse at the practice, how good were they at each of the following?
Please choose one option for each row
Very good
Good
Neither good nor poor
Poor
Very poor
Doesn’t apply
Giving you enough time
Giving you enough time=Very good
Giving you enough time=Good
Giving you enough time=Neither good nor poor
Giving you enough time=Poor
Giving you enough time=Very poor
Giving you enough time=Doesn’t apply
Asking about your symptoms
Asking about your symptoms=Very good
Asking about your symptoms=Good
Asking about your symptoms=Neither good nor poor
Asking about your symptoms=Poor
Asking about your symptoms=Very poor
Asking about your symptoms=Doesn’t apply
Listening
Listening =Very good
Listening =Good
Listening =Neither good nor poor
Listening =Poor
Listening =Very poor
Listening =Doesn’t apply
Explaining tests and treatments
Explaining tests and treatments=Very good
Explaining tests and treatments=Good
Explaining tests and treatments=Neither good nor poor
Explaining tests and treatments=Poor
Explaining tests and treatments=Very poor
Explaining tests and treatments=Doesn’t apply
Involving you in decisions about your care
Involving you in decisions about your care=Very good
Involving you in decisions about your care=Good
Involving you in decisions about your care=Neither good nor poor
Involving you in decisions about your care=Poor
Involving you in decisions about your care=Very poor
Involving you in decisions about your care=Doesn’t apply
Treating you with care and concern
Treating you with care and concern=Very good
Treating you with care and concern=Good
Treating you with care and concern=Neither good nor poor
Treating you with care and concern=Poor
Treating you with care and concern=Very poor
Treating you with care and concern=Doesn’t apply
Taking your problems seriously
Taking your problems seriously=Very good
Taking your problems seriously=Good
Taking your problems seriously=Neither good nor poor
Taking your problems seriously=Poor
Taking your problems seriously=Very poor
Taking your problems seriously=Doesn’t apply
Did you have confidence and trust in the doctor or nurse you saw?
Yes, definitely
Yes, to some extent
No, not at all
Don’t know/can’t say
Did you feel you were treated with respect and dignity while you were in the practice?
Yes, always
Yes, sometimes
No
In your opinion how much does your doctor or nurse know about your medical history?
A lot
Fair amount
A little
Not applicable
About your health
Have you been diagnosed with any of the following conditions?
Please tick all that apply
ANSWER REQUIRED
COPD (chronic obstructive pulmonary disease)
Diabetes
Epilepsy
Heart disease
Cardiovascular disease
Hypertension/High blood pressure
Stroke
Kidney disease
A mental health condition
Learning disabilities
Cancer
Other
None of the above
Getting help with long-standing health issues
Do you have any long-standing condition, disability or infirmity?
Please include anything that has troubled you over a period of time or that is likely to affect you over a period
ANSWER REQUIRED
Yes
No
Don't know/Can't say
Have you had discussions in the past 12 months with a doctor or nurse about how best to deal with any long-standing health issues?
ANSWER REQUIRED
Yes
No
General comments about the practice
In general, how satisfied are you with the care you get at the practice?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Quite dissatisfied
Very dissatisfied
Would you recommend the practice to someone who has just moved to your local area?
Yes
Might
Not sure
Probably not
Definitely not
Don’t know
Does your doctor give you enough information about any diagnosis or treatments?
Yes
To some extent
No
Don’t know/Can’t remember
How satisfied are you with the skill and competency of the staff?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not sure
Reception facilities at the practice
How helpful do you find the receptionists at the practice?
ANSWER REQUIRED
Very helpful
Fairly helpful
Average
Not very helpful
Not at all helpful
Never spoken to a receptionist at the practice
Reception facilities at the practice
How easy do you find getting into the building at the practice?
Very easy
Fairly easy
Not very easy
Not at all easy
I have not visited the practice in the past 12 months
Do you like our automatic check-in service?
This service is a computer screen that lets you register your arrival at the practice
I like it a lot
I like it
Neither satisfied nor dissatisfied
I would prefer to see the receptionist
I cannot stand it
About the practice building itself
How clean is the practice building?
Very clean
Fairly clean
Not very clean
Not at all clean
Practice staff
In evaluating your most recent experience at the practice, was the quality of service you received:
Very good
Good
About average
Poor
Very poor
Don't know
Getting to the practice
How do you normally travel to the practice?
ANSWER REQUIRED
On foot (walking)
Public transport
Car/motorbike
Bicycle
Other
Never visit the practice
Getting more information
Do you get enough information about the practice and the services we offer?
Yes
No
Are you aware of our practice leaflet?
Yes
No
Have you read our practice leaflet?
Yes
No
How would you rate the information we give you about the practice and the services we offer?
Very good
Good
About average
Poor
Very poor
Don't know
How would you most like to receive information about the practice?
By post
By email
By posters and leaflets in the practice
By text message
No preference
About you
The questions on the following two pages are about you. Remember this survey is anonymous and confidential but providing this information will help us analyse the responses as a whole and give us an overview of our patients’ feedback.
Are you male or female
Male
Female
Other
Prefer not to say
How old are you?
How old are you?
[Please select an answer]
Under 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85 and over
Prefer not to say
Which of these best describes your employment status?
If more than one of these applies to you, please tick the main one
ANSWER REQUIRED
Full-time paid work (30 hrs or more a week)
Part-time paid work (under 30 hrs a week)
Full-time education (school, college, university)
Unemployed
Permanently sick or disabled
Fully retired from work
Looking after the home
Other
Thank you for your feedback
The final step is to click on the "Submit answers" button below to save your answers. Until you do, nothing you have entered will be saved.
If you have any questions about this survey or it has raised any concerns please do not hesitate to contact us at the practice to discuss them.
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