Ormskirk House Surgery - Patient Questionnaire Ormskirk House Surgery - Patient Questionnaire Question Title * 1. What age group are you? 0-18 years old 19-30 years old 31-40 years old 41-50 years old 51-60 years old 61-70 years old 71-80 years old 80+ years old OK Question Title * 2. How long have you waited for your appointment? Less then three days Up to one week One to Two weeks Two weeks+ OK Question Title * 3. If more then two weeks, is this because you requested a GP of your choice? Yes No Other (please specify) OK Question Title * 4. How did you make your GP appointment? Phone In person Online OK Question Title * 5. How likely is it that you wold use the GP Practice as your first port of call? Very Likely Likely Not very likely Not at all OK Question Title * 6. Where would you have gone/what would you have done if you struggled to get an appointment here? Self Cared Care at the Chemist Walk in Centre Used NHS 111 for advice A&E OK Question Title * 7. Did you know that you can visit the Ormskirk House Surgery website? Yes No OK Question Title * 8. Did you know you can now book GP appointments on line when registered for on-line services Yes No OK Question Title * 9. Did you know you can order repeat prescriptions on line when registered for on-line services? Yes No OK Question Title * 10. Are you satisfied with the services you receive from your GP Practice? Very satisfied Satisfied Fairly Satisfied Not satisfied OK Question Title * 11. Are you aware the Practice has a PPG (Patient Participation Group)? Yes No OK Question Title * 12. Would you like to become a member? Yes No OK To become a member of Ormskirk House Surgey please follow the link here OK Question Title * 13. What works well within the Practice? OK DONE