WYE SURGERY - PATIENT SURVEY

Please answer all questions

Question Title

* 1. When was your most recent appointment at Wye Surgery?

Question Title

* 2. What type of appointment did you have?

If other type of appointment, please give details:

Question Title

* 3. askmyGP - If you have used this online service please tell us your experience

	Not useful	Disappointed	Good	Very Good	Extremely useful	Not applicable
How useful was the "Self Help" option?	How useful was the "Self Help" option? Not useful	How useful was the "Self Help" option? Disappointed	How useful was the "Self Help" option? Good	How useful was the "Self Help" option? Very Good	How useful was the "Self Help" option? Extremely useful	How useful was the "Self Help" option? Not applicable
How useful was the "Message my GP" option?	How useful was the "Message my GP" option? Not useful	How useful was the "Message my GP" option? Disappointed	How useful was the "Message my GP" option? Good	How useful was the "Message my GP" option? Very Good	How useful was the "Message my GP" option? Extremely useful	How useful was the "Message my GP" option? Not applicable

Optional: Please add any comments about your experience of using this service.

Question Title

* 4. Rate our GP Access 'appointment making' process

	Excellent	Good	Average	Below average	Poor	Not applicable
My phone call to book the appointment was answered quickly	My phone call to book the appointment was answered quickly Excellent	My phone call to book the appointment was answered quickly Good	My phone call to book the appointment was answered quickly Average	My phone call to book the appointment was answered quickly Below average	My phone call to book the appointment was answered quickly Poor	My phone call to book the appointment was answered quickly Not applicable
The receptionist who made my appointment was was cheery + helpful	The receptionist who made my appointment was was cheery + helpful Excellent	The receptionist who made my appointment was was cheery + helpful Good	The receptionist who made my appointment was was cheery + helpful Average	The receptionist who made my appointment was was cheery + helpful Below average	The receptionist who made my appointment was was cheery + helpful Poor	The receptionist who made my appointment was was cheery + helpful Not applicable
The GP called me back within an hour	The GP called me back within an hour Excellent	The GP called me back within an hour Good	The GP called me back within an hour Average	The GP called me back within an hour Below average	The GP called me back within an hour Poor	The GP called me back within an hour Not applicable
I had a successful telephone consultation with the GP - my needs and expectations were met	I had a successful telephone consultation with the GP - my needs and expectations were met Excellent	I had a successful telephone consultation with the GP - my needs and expectations were met Good	I had a successful telephone consultation with the GP - my needs and expectations were met Average	I had a successful telephone consultation with the GP - my needs and expectations were met Below average	I had a successful telephone consultation with the GP - my needs and expectations were met Poor	I had a successful telephone consultation with the GP - my needs and expectations were met Not applicable
I was offered a personal appointment at a suitable day and time for me	I was offered a personal appointment at a suitable day and time for me Excellent	I was offered a personal appointment at a suitable day and time for me Good	I was offered a personal appointment at a suitable day and time for me Average	I was offered a personal appointment at a suitable day and time for me Below average	I was offered a personal appointment at a suitable day and time for me Poor	I was offered a personal appointment at a suitable day and time for me Not applicable
A prescription was made available for me to collect from the surgery/dispensary/local chemist	A prescription was made available for me to collect from the surgery/dispensary/local chemist Excellent	A prescription was made available for me to collect from the surgery/dispensary/local chemist Good	A prescription was made available for me to collect from the surgery/dispensary/local chemist Average	A prescription was made available for me to collect from the surgery/dispensary/local chemist Below average	A prescription was made available for me to collect from the surgery/dispensary/local chemist Poor	A prescription was made available for me to collect from the surgery/dispensary/local chemist Not applicable

Optional: Tell us what was good/bad about your experience

Question Title

* 5. If you came into Wye Surgery for an appointment, please rate your arrival

	Excellent	Good	Average	Below average	Poor	Not applicable
I was able to park at the surgery	I was able to park at the surgery Excellent	I was able to park at the surgery Good	I was able to park at the surgery Average	I was able to park at the surgery Below average	I was able to park at the surgery Poor	I was able to park at the surgery Not applicable
My appointment was at a convenient day and time for me	My appointment was at a convenient day and time for me Excellent	My appointment was at a convenient day and time for me Good	My appointment was at a convenient day and time for me Average	My appointment was at a convenient day and time for me Below average	My appointment was at a convenient day and time for me Poor	My appointment was at a convenient day and time for me Not applicable
At reception, I was checked in quickly	At reception, I was checked in quickly Excellent	At reception, I was checked in quickly Good	At reception, I was checked in quickly Average	At reception, I was checked in quickly Below average	At reception, I was checked in quickly Poor	At reception, I was checked in quickly Not applicable
There were seats free in the waiting room	There were seats free in the waiting room Excellent	There were seats free in the waiting room Good	There were seats free in the waiting room Average	There were seats free in the waiting room Below average	There were seats free in the waiting room Poor	There were seats free in the waiting room Not applicable
I was seen close to my appointment time	I was seen close to my appointment time Excellent	I was seen close to my appointment time Good	I was seen close to my appointment time Average	I was seen close to my appointment time Below average	I was seen close to my appointment time Poor	I was seen close to my appointment time Not applicable
The wash room/WC was clean and tidy	The wash room/WC was clean and tidy Excellent	The wash room/WC was clean and tidy Good	The wash room/WC was clean and tidy Average	The wash room/WC was clean and tidy Below average	The wash room/WC was clean and tidy Poor	The wash room/WC was clean and tidy Not applicable

Optional: Tell us what was good/bad about your experience

Question Title

* 6. Who was your appointment with?

Optional: Please give their name (if you know it)

Question Title

* 7. Do you know about the following services/activities at Wye Surgery?

	Yes	Used/taken part	No	Not interested
Our Patient Participation Group	Our Patient Participation Group Yes	Our Patient Participation Group Used/taken part	Our Patient Participation Group No	Our Patient Participation Group Not interested
askmyGP - an online service	askmyGP - an online service Yes	askmyGP - an online service Used/taken part	askmyGP - an online service No	askmyGP - an online service Not interested
Our Minor Injuries Clinic - quick assessment and treatment for things like cuts, sprains, burns etc	Our Minor Injuries Clinic - quick assessment and treatment for things like cuts, sprains, burns etc Yes	Our Minor Injuries Clinic - quick assessment and treatment for things like cuts, sprains, burns etc Used/taken part	Our Minor Injuries Clinic - quick assessment and treatment for things like cuts, sprains, burns etc No	Our Minor Injuries Clinic - quick assessment and treatment for things like cuts, sprains, burns etc Not interested
Our non-obstetric Ultrasound Clinic	Our non-obstetric Ultrasound Clinic Yes	Our non-obstetric Ultrasound Clinic Used/taken part	Our non-obstetric Ultrasound Clinic No	Our non-obstetric Ultrasound Clinic Not interested
Our Out-Patient Clinics - where Consultants/Clinicians hold their clinics here instead of at a local hospital	Our Out-Patient Clinics - where Consultants/Clinicians hold their clinics here instead of at a local hospital Yes	Our Out-Patient Clinics - where Consultants/Clinicians hold their clinics here instead of at a local hospital Used/taken part	Our Out-Patient Clinics - where Consultants/Clinicians hold their clinics here instead of at a local hospital No	Our Out-Patient Clinics - where Consultants/Clinicians hold their clinics here instead of at a local hospital Not interested

Question Title

* 8. If seen in person at Wye Surgery, please rate the quality of care you received from the doctor/nurse/practitioner who saw you? (5 is the highest rating, 0 is the lowest, N/A means not applicable)

	Excellent	Very Good	Good	Average	Poor	Not applicable
He/She put me at ease	He/She put me at ease Excellent	He/She put me at ease Very Good	He/She put me at ease Good	He/She put me at ease Average	He/She put me at ease Poor	He/She put me at ease Not applicable
He/She asked questions and listened to me	He/She asked questions and listened to me Excellent	He/She asked questions and listened to me Very Good	He/She asked questions and listened to me Good	He/She asked questions and listened to me Average	He/She asked questions and listened to me Poor	He/She asked questions and listened to me Not applicable
He/She took into account my medical history	He/She took into account my medical history Excellent	He/She took into account my medical history Very Good	He/She took into account my medical history Good	He/She took into account my medical history Average	He/She took into account my medical history Poor	He/She took into account my medical history Not applicable
He/She examined me	He/She examined me Excellent	He/She examined me Very Good	He/She examined me Good	He/She examined me Average	He/She examined me Poor	He/She examined me Not applicable
He/She was confident in knowing what to do	He/She was confident in knowing what to do Excellent	He/She was confident in knowing what to do Very Good	He/She was confident in knowing what to do Good	He/She was confident in knowing what to do Average	He/She was confident in knowing what to do Poor	He/She was confident in knowing what to do Not applicable
He/She explained my condition and treatment/care	He/She explained my condition and treatment/care Excellent	He/She explained my condition and treatment/care Very Good	He/She explained my condition and treatment/care Good	He/She explained my condition and treatment/care Average	He/She explained my condition and treatment/care Poor	He/She explained my condition and treatment/care Not applicable
He/She involved me in decisions about my treatment/care	He/She involved me in decisions about my treatment/care Excellent	He/She involved me in decisions about my treatment/care Very Good	He/She involved me in decisions about my treatment/care Good	He/She involved me in decisions about my treatment/care Average	He/She involved me in decisions about my treatment/care Poor	He/She involved me in decisions about my treatment/care Not applicable
He/She arranged for/gave me a prescription, treatment or tests	He/She arranged for/gave me a prescription, treatment or tests Excellent	He/She arranged for/gave me a prescription, treatment or tests Very Good	He/She arranged for/gave me a prescription, treatment or tests Good	He/She arranged for/gave me a prescription, treatment or tests Average	He/She arranged for/gave me a prescription, treatment or tests Poor	He/She arranged for/gave me a prescription, treatment or tests Not applicable
I would be very happy to be seen by the same person again	I would be very happy to be seen by the same person again Excellent	I would be very happy to be seen by the same person again Very Good	I would be very happy to be seen by the same person again Good	I would be very happy to be seen by the same person again Average	I would be very happy to be seen by the same person again Poor	I would be very happy to be seen by the same person again Not applicable

Optional: Please add any comments about the care you received

Question Title

* 9. Are you sufficiently happy with our service that you would recommend Wye Surgery to other local people?

Optional: Please add any further comments or ideas for improving our patient services. THANK YOU FOR COMPLETING OUT SURVEY.

Question Title

* 10. Overall, how highly would you rate Wye Surgery?

	Excellent	Very good	Good	Fair	Poor	Don't know
Wye Surgery as a whole	Wye Surgery as a whole Excellent	Wye Surgery as a whole Very good	Wye Surgery as a whole Good	Wye Surgery as a whole Fair	Wye Surgery as a whole Poor	Wye Surgery as a whole Don't know
GP Access Appointments system	GP Access Appointments system Excellent	GP Access Appointments system Very good	GP Access Appointments system Good	GP Access Appointments system Fair	GP Access Appointments system Poor	GP Access Appointments system Don't know
Medical care from our GPs	Medical care from our GPs Excellent	Medical care from our GPs Very good	Medical care from our GPs Good	Medical care from our GPs Fair	Medical care from our GPs Poor	Medical care from our GPs Don't know
Range of clinics	Range of clinics Excellent	Range of clinics Very good	Range of clinics Good	Range of clinics Fair	Range of clinics Poor	Range of clinics Don't know
Admin and reception team	Admin and reception team Excellent	Admin and reception team Very good	Admin and reception team Good	Admin and reception team Fair	Admin and reception team Poor	Admin and reception team Don't know
Dispensary	Dispensary Excellent	Dispensary Very good	Dispensary Good	Dispensary Fair	Dispensary Poor	Dispensary Don't know
Location and parking	Location and parking Excellent	Location and parking Very good	Location and parking Good	Location and parking Fair	Location and parking Poor	Location and parking Don't know
Waiting room and other rooms	Waiting room and other rooms Excellent	Waiting room and other rooms Very good	Waiting room and other rooms Good	Waiting room and other rooms Fair	Waiting room and other rooms Poor	Waiting room and other rooms Don't know
Disabled access and facilities	Disabled access and facilities Excellent	Disabled access and facilities Very good	Disabled access and facilities Good	Disabled access and facilities Fair	Disabled access and facilities Poor	Disabled access and facilities Don't know
Usefulness of our website	Usefulness of our website Excellent	Usefulness of our website Very good	Usefulness of our website Good	Usefulness of our website Fair	Usefulness of our website Poor	Usefulness of our website Don't know
Availability of printed health information	Availability of printed health information Excellent	Availability of printed health information Very good	Availability of printed health information Good	Availability of printed health information Fair	Availability of printed health information Poor	Availability of printed health information Don't know