SWCCG Practice and PCN Website Project - Patient Questionnaire

Question Title

* 1. Registered GP Practice

Question Title

* 2. Town / Village of Residence (optional - please write below)

Question Title

* 3. What are the key benefits you would like to see from a new practice website?

Question Title

* 4. Please prioritise the following FUNCTIONAL DESIGN elements identified at a recent website workshop and PPPG engagement:

Question Title

* 5. Please prioritise the following TECHNICAL FUNCTIONALITY elements identified at a recent website workshop and PPPG engagement:

Question Title

* 6. Please prioritise the following CONTENT PAGES identified at a recent workshop and PPPG engagement:

Question Title

* 7. Please detail any additional functionality you would like to see included in the specification for your practice website

Question Title

* 8. Please detail any additional functionality you would like to see included in the specification for a Primary Care Network website (click here for explanation of Primary Care Networks)

Question Title

* 9. Please indicate the content you would like to see on your practice website

Opening times

Appointment booking information

Information about the services the practice offers

Information about services from other providers

Information on immunisation

Travel health information

Information on current medical issues (topical or seasonal)

Information on clinical team and their qualifications / specialisms

Information about support groups

Information on the location of the surgery (especially if a hub practice)

Information on bus routes and parking

Feedback and suggestion form

Information on new Primary Care Network services

Other (please specify)

Question Title

* 10. If you have an example of a good practice website, please provide the details/link:

Question Title

* 11. Any other comments or suggestions for the websites?

Question Title

* 12. Would you like to get involved with the website project?

Yes

If yes, please confirm your email address below

Question Title

* 13. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Rather not say

Question Title

* 14. Gender

Male

Female

Other

Rather not say