Appointment Questionnaire Patient Access Survey 2019/2020 Patient Access Survey 2019/2020 Please answer all the questions that apply to you. There are no right or wrong answers and the Practice will not be able to identify your individual responses. We will be discussing the data from the questionnaire with other GP Practices in the area (our cluster) and will share learning and best practice. Thank you for providing feedback, it’s very important to us and really does make a difference. About You How old are you? Under 16 Years 16 - 24 Years 25 - 45 Years 46 - 64 Years Over 65 Years Are you? Employed Full Time Employed Part Time Student Self Employed Retired OtherOther Do you consider yourself to have a disability? No Yes Do you consider yourself to be a carer? No Yes Are you able to communicate in your language of choice when you visit your GP Practice? No Yes How many times do you estimate you have visited your GP Practice in the last 12 Months? 1 - 5 Times 6 - 10 Times 10+ Times Before you visited the Practice today: Do you know about My Health Online? No Yes Do you use it to order repeat prescriptions? No Yes Do you use it to book an appointment? No Yes Would you like to be able to (if appropriate) have a telephone consultation with a healthcare professional? No Yes Would you like to be able to (if appropriate) be able to email the Practice with a question or query about your health and/or medication? No Yes Did you know that you can have free treatment or advice for 27 common conditions in any Community Pharmacy as part of the Common Ailments Service? No Yes About the Practice and your visit today: About the service in general: How helpful was the reception team? Very Good Good Poor Very Poor Not Applicable The time and date of your appointment was suitable? Very Good Good Poor Very Poor Not Applicable How easy was it to book an appointment? Very Good Good Poor Very Poor Not Applicable About your appointment today. How would you rate the healthcare professional that you have seen? Politeness Very Good Good Poor Very Poor Not Applicable Making you feel comfortable Very Good Good Poor Very Poor Not Applicable Listening Very Good Good Poor Very Poor Not Applicable Assessing your condition Very Good Good Poor Very Poor Not Applicable Explaining Very Good Good Poor Very Poor Not Applicable Involving you Very Good Good Poor Very Poor Not Applicable Thank you for completing the form. Please press submit to send this through to the practice. Submit Δ
