Questionnaire about the Eynsham Medical Group Surgeries at Long Hanborough and Eynsham

This questionnaire is anonymous; however, if you are happy to be contacted, please enter your name and contact details at the end of the survey. We have included questions about your age and gender because we feel that this information is relevant to your reply.

Please limit your answers to matters about the surgery and not about any other organisation (e.g. hospitals). In particular, please note that it is NHS policy that Eynsham Medical Centre dispensary is unable to issue medication to patients who live within 1 mile of a community pharmacy.

Please answer briefly and do not include an individuals' names.

Where do you live?

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* 1. Where do you live?

What is your age?

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* 2. What is your age?

What is your gender?

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* 3. What is your gender?

Which surgery do you normally attend?

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* 4. Which surgery do you normally attend?

What is your opinion about the ease with which you were able to register with the surgery?

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* 5. What is your opinion about the ease with which you were able to register with the surgery?

What is your opinion about your ability to contact the surgery?

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* 6. What is your opinion about your ability to contact the surgery?

What is your opinion about the appointments system?

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* 7. What is your opinion about the appointments system?

What is your opinion about the services provided by the surgery?

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* 8. What is your opinion about the services provided by the surgery?

What is your opinion about the surgery facilities?

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* 9. What is your opinion about the surgery facilities?

Do you have any other comments?
You can also use this box to give us your name and contact details if you are happy for us to contact you.

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* 10. Do you have any other comments?
You can also use this box to give us your name and contact details if you are happy for us to contact you.

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