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* 1. Which GP surgery are you a patient at?

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* 2. How easy is it to get an appointment when you need one? (Please select one answer)

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* 3. Please tell us more about your experiences of getting an appointment. (Including why you find it easy or difficult, how long you have to wait to get an appointment and whether the system works well for you):

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* 4. Do you usually get to see the doctor/nurse/healthcare professional of your choice?

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* 5. Are you satisfied with the treatment and service that you receive here?

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* 6. Have you experienced any problems with the way that staff communicate with you or in their attitude towards you?

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* 7. What do you think could improve the patient experience at your GP practice and what do you think works particularly well?

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* 8. Do you have any additional needs that require support? (Such as hearing or visual impairment, learning or physical disabilities or English as a second language, etc.)

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* 9. If you answered 'yes' to question 11, do you feel that your needs are being met?

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* 10. Is there anything more you'd like to tell us in this survey?

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