Patient Survey

Customer Service:

	Poor	fair	good	Great
Your welcome and greeting on arrival at the Reception or when you telephone us?
Was the reception team able to answer your questions or concerns?
Considering the response of our staff, our premises and general experience today, how would you rate us overall?
When speaking to the GP, nurse or receptionist do you feel that confidentiality is maintained?

Communication:

	Poor	Fair	Good	Great
When speaking to the GP, Nurse or receptionist, how well do you feel that confidentiality is maintained?
When you have a consultation with a clinician ie GP/Nurse, do you feel that you are listened to and your questions answered?

Our prescription request service:

	Poor	Fair	Good	Great
Do you receive your prescription within the agreed timescale of 48 hours?

Appointments:

	Poor	Fair	Good	Great
How do you rate the ease of booking an appointment?
How do you rate the variety of appointment times available for booking?
How easy do you find it to cancel an appointment at the Surgery?

Overall:

	Poor	Fair	Good	Great
Reflecting on the above, how effectively do you rate our communication with our patients?

Are you:

under 18

18 – 30

31 – 50

over50

Are you:

Male

Female

What ethnic group do you consider yourself part of? :

If you are disabled, do you find access to the surgery difficult?:

Yes

No

If yes – Please say why:

Drayton Road Surgery