YOUR SATISFACTION WITH RECEPTION - MEANWOOD GROUP PRACTICE Survey

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* 1. If you telephoned the surgery or came in to the reception to book an appointment, were you asking for an appointment for the same day?

YES

NO (go to Q4)

Comment

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* 2. If YES, did you want this appointment because it was URGENT?

YES

NO (go to Q4 and continue)

Comment

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* 3. Did you tell the receptionist it was urgent?

YES

NO (please tell us why you did not in the comments box below)

Comment

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* 4. When you spoke to the Receptionist:

	Yes	No
Were you given an appointment on that day	Were you given an appointment on that day Yes	Were you given an appointment on that day No
or offered an alternative appointment on another day	or offered an alternative appointment on another day Yes	or offered an alternative appointment on another day No
or offered a telephone consultation	or offered a telephone consultation Yes	or offered a telephone consultation No

Comment

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* 5. If you asked for an appointment for the same day but it was not urgent, was it:

because you thought you could only book an appointment on the day you wanted to be seen

because you had tried previously but not been able to book an appointment for that day

took a chance that there might be a free appointment

Other (please specify)

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* 6. If you telephoned and spoke to a receptionist (not the automated telephone booking system) - how would you rate:

	No experience	Poor	Fair	Good	Very Good	Excellent
The greeting you were given when the phone was answered	The greeting you were given when the phone was answered No experience	The greeting you were given when the phone was answered Poor	The greeting you were given when the phone was answered Fair	The greeting you were given when the phone was answered Good	The greeting you were given when the phone was answered Very Good	The greeting you were given when the phone was answered Excellent
How long you have to wait to see the doctor or nurse	How long you have to wait to see the doctor or nurse No experience	How long you have to wait to see the doctor or nurse Poor	How long you have to wait to see the doctor or nurse Fair	How long you have to wait to see the doctor or nurse Good	How long you have to wait to see the doctor or nurse Very Good	How long you have to wait to see the doctor or nurse Excellent
The convenience of day and time of your appointment	The convenience of day and time of your appointment No experience	The convenience of day and time of your appointment Poor	The convenience of day and time of your appointment Fair	The convenience of day and time of your appointment Good	The convenience of day and time of your appointment Very Good	The convenience of day and time of your appointment Excellent
How the receptionist listened to your request	How the receptionist listened to your request No experience	How the receptionist listened to your request Poor	How the receptionist listened to your request Fair	How the receptionist listened to your request Good	How the receptionist listened to your request Very Good	How the receptionist listened to your request Excellent
How helpful the Receptionist was	How helpful the Receptionist was No experience	How helpful the Receptionist was Poor	How helpful the Receptionist was Fair	How helpful the Receptionist was Good	How helpful the Receptionist was Very Good	How helpful the Receptionist was Excellent

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* 7. If you visited the surgery and spoke to a receptionist - how would you rate:

	No experience	Poor	Fair	Good	Very Good	Excellent
The length of time you had to wait to speak to the Receptionist	The length of time you had to wait to speak to the Receptionist No experience	The length of time you had to wait to speak to the Receptionist Poor	The length of time you had to wait to speak to the Receptionist Fair	The length of time you had to wait to speak to the Receptionist Good	The length of time you had to wait to speak to the Receptionist Very Good	The length of time you had to wait to speak to the Receptionist Excellent
How the Receptionist greeted you	How the Receptionist greeted you No experience	How the Receptionist greeted you Poor	How the Receptionist greeted you Fair	How the Receptionist greeted you Good	How the Receptionist greeted you Very Good	How the Receptionist greeted you Excellent
How at ease the Receptionist made you feel	How at ease the Receptionist made you feel No experience	How at ease the Receptionist made you feel Poor	How at ease the Receptionist made you feel Fair	How at ease the Receptionist made you feel Good	How at ease the Receptionist made you feel Very Good	How at ease the Receptionist made you feel Excellent
How helpful the Receptionist was	How helpful the Receptionist was No experience	How helpful the Receptionist was Poor	How helpful the Receptionist was Fair	How helpful the Receptionist was Good	How helpful the Receptionist was Very Good	How helpful the Receptionist was Excellent
The information provided by the Receptionist	The information provided by the Receptionist No experience	The information provided by the Receptionist Poor	The information provided by the Receptionist Fair	The information provided by the Receptionist Good	The information provided by the Receptionist Very Good	The information provided by the Receptionist Excellent

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* 8. And Finally..................

	No experience	Poor	Fair	Good	Very Good	Excellent
What is your overall satisfaction with the Reception Team	What is your overall satisfaction with the Reception Team No experience	What is your overall satisfaction with the Reception Team Poor	What is your overall satisfaction with the Reception Team Fair	What is your overall satisfaction with the Reception Team Good	What is your overall satisfaction with the Reception Team Very Good	What is your overall satisfaction with the Reception Team Excellent

The information in questions 9 - 12 will only be used to inform us of the range of patients who use our GP Practice; you cannot be identified from this data but it may help us to plan our services.

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* 9. Ethnic Origin

	White - British	White - other	Black - Caribbean	Black - African	Black - Other	Indian	Pakistani	Bangladeshi	Chinese
Ethnic Origin	Ethnic Origin White - British	Ethnic Origin White - other	Ethnic Origin Black - Caribbean	Ethnic Origin Black - African	Ethnic Origin Black - Other	Ethnic Origin Indian	Ethnic Origin Pakistani	Ethnic Origin Bangladeshi	Ethnic Origin Chinese

Other (please specify)

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* 10. Age

	Under 19	19 - 30	31 - 40	41 - 50	51 -60	Over 60
Please indicate your age group	Please indicate your age group Under 19	Please indicate your age group 19 - 30	Please indicate your age group 31 - 40	Please indicate your age group 41 - 50	Please indicate your age group 51 -60	Please indicate your age group Over 60

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* 11. Gender

	Male	Female
Please indicate your gender	Please indicate your gender Male	Please indicate your gender Female

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* 12. How many years have you been registered with this doctor?

	0-1	1-10	10 -20	Lifetime
Years	Years 0-1	Years 1-10	Years 10 -20	Years Lifetime