ENT Patient Questionnaire NHS Croydon ENT Patient Satisfaction Questionnaire Question Title * 1. Which location did you attend for your ENT appointment? Selsdon Park Medical Centre East Croydon Medical Centre Brigstock Famiy Practice, Thornton Heath Woodside Health Centre Question Title * 2. Which Doctor did you see today? Dr Plamen Donev Dr George Varughese Dr Dominic Roberts Dr Eirini Lentari Not Known Question Title * 3. How did you rate the way you were treated by the reception staff at this location? Excellent Good Poor Question Title * 4. Were you offered a choice about where you received your treatment? Yes No Not Sure/ Can't remember Question Title * 5. Were we able to give you an appointment that was convenient for you? Yes No - If no please state your preferred time/ day below Other (please specify) Question Title * 6. How long did you have to wait for an ENT appointment within our service? 1-2 weeks 3-4 weeks 4 weeks + Question Title * 7. How did you rate this length of time? Excellent Good Poor Question Title * 8. If you communicated with our admin team prior to your appointment how would you rate their customer service? Excellent Good I did not speak with the admin team or not sure Poor Question Title * 9. How long did you wait for your consultation to start today? less than 10 minutes 10 - 20 minutes 20-30 minutes more than 30 minutes Question Title * 10. How would you rate the manner and attitude of the doctor? Excellent Good Poor Question Title * 11. How well did the doctor deal with your ENT condition? Excellent Good Poor Question Title * 12. Did your ENT consultation meet your needs? Yes No Not sure Question Title * 13. Overall, how satisfied are you with the service and care that you have received? Excellent Good Poor Not Sure Question Title * 14. How likely are you to recommend this service to your family/ friends? Extremely likely likely Not sure Unlikely Extremely unlikely Question Title * 15. If you have any further comments/ suggestions please let you know your thoughts below: Done