Penny Lane Patient Survey Question Title * 1. When did you last see or speak to a GP or Practice Nurse at Penny Lane Surgery? I have never seen or spoken to a GP at Penny Lane Surgery. Over 12 months ago 6-12 months ago 3-6 months ago Within the last month Please add any comments you may have here… OK Question Title * 2. Please rate how satisfied you are with the knowledge and service provided by the GP's of Penny Lane Surgery? Doesn't know anything Not very knowledgeable Don't know Knowledgeable Extremely knowledgeable Doesn't know anything Not very knowledgeable Don't know Knowledgeable Extremely knowledgeable OK Question Title * 3. Please rate how satisfied you are with the knowledge and service provided by the Practice Nurses of Penny Lane Surgery? Doesn't know anything Not very knowledgeable Don't know Knowledgeable Extremely knowledgeable Doesn't know anything Not very knowledgeable Don't know Knowledgeable Extremely knowledgeable OK Question Title * 4. How satisfied are you with the availability of appointments in the below scenarios? Impossible to book Difficult to book Don't know Available to book most of the time Always available to book Open Access Appointment (available on Mon, Wed and Fri AM) Open Access Appointment (available on Mon, Wed and Fri AM) Impossible to book Open Access Appointment (available on Mon, Wed and Fri AM) Difficult to book Open Access Appointment (available on Mon, Wed and Fri AM) Don't know Open Access Appointment (available on Mon, Wed and Fri AM) Available to book most of the time Open Access Appointment (available on Mon, Wed and Fri AM) Always available to book Please specify why? Routine Appointments (pre-bookable up to two weeks in advance) Routine Appointments (pre-bookable up to two weeks in advance) Impossible to book Routine Appointments (pre-bookable up to two weeks in advance) Difficult to book Routine Appointments (pre-bookable up to two weeks in advance) Don't know Routine Appointments (pre-bookable up to two weeks in advance) Available to book most of the time Routine Appointments (pre-bookable up to two weeks in advance) Always available to book Please specify why? Emergency appointments (for medical emergencies) Emergency appointments (for medical emergencies) Impossible to book Emergency appointments (for medical emergencies) Difficult to book Emergency appointments (for medical emergencies) Don't know Emergency appointments (for medical emergencies) Available to book most of the time Emergency appointments (for medical emergencies) Always available to book Please specify why? OK Question Title * 5. How long did you have to wait for your appointment, the last time you booked an appointment at Penny Lane Surgery? I was able to book a same day appointment I was able to book an appointment within the next three working days I was able to book an appointment within the next week I was able to book an appointment within the next two weeks My appointment was over two weeks away OK Question Title * 6. Do you feel that staff at Penny Lane Surgery seek consent from you appropriately and respect your wishes regarding consent? Staff at Penny Lane always seek consent appropriately and respect my wishes. Staff at Penny Lane seek consent appropriately and respect my wishes most of the time. Staff at Penny Lane sometimes seek consent appropriately and respect my wishes regarding consent. Staff at Penny Lane hardly ever seek consent appropriately and respect my wishes regarding consent. Staff at Penny Lane never seek consent appropriately and respect my wishes regarding consent Please specify why? OK Question Title * 7. Please rate how satisfied you are with our current phone system? Very dissatisfied Dissatisfied Don't know Satisfied Very satisfied Very dissatisfied Dissatisfied Don't know Satisfied Very satisfied Please comment why? OK Question Title * 8. Are you satisfied with the current opening hours of Penny Lane Surgery? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Other (please specify) OK Question Title * 9. Are you aged: Under 18 18-24 25-39 40-54 55-69 70+ OK Question Title * 10. How likely are you to recommend our GP Practice to friends and family if they needed similar care or treatment? Extremely likely Likely Don't know Unlikely Extremely unlikely Please write any feedback you have here..... OK DONE