Please answer all the questions that are relevant and apply to you to the best of your knowledge. There are no right or wrong answers, and the practice will not be able to identify your individual response. We will be using the information that has been provided in order to share learning and continue to improve services.

We appreciate you taking the time to complete this patient survey as we value your feedback.

If you would like to complete this survey in Welsh, then please contact your GP surgery for further details.

Question Title

* Name of GP Surgery

Question Title

* What is your age range?

Question Title

* Do you have a long-standing illness or condition?

Question Title

* Do you have a disability?

Question Title

* Do you consider yourself to be a carer?

Question Title

* Are you able to communicate in your language of choice when you visit your GP practice?

Question Title

* Do you have access to any of the following digital methods for communication?

  Answer
Telephone
Internet
Electronic Devices

Question Title

* Do you have access to any of the following digital methods for communication?

  Answer
Telephone
Internet
Electronic Devices

Question Title

* Would you feel confident in using any of the following for health appointments?

  Answer
Telephone
Internet
Electronic Devices

Question Title

* Before you booked this appointment, did you try any of the following first?

  Answer
Looked for self-care information online
Visited a pharmacist through the minor ailments scheme
Visited an optician for minor eye conditions
Accessed information via NHS direct/NHS 111
Did not obtain advice from anywhere else.

Question Title

* How many times have you visited the surgery in the last 12 months?

Question Title

* How many times have you had a remote consultation via the telephone or video consultation in the last 12 months?

Question Title

* Which of these groups would best describe you and your circumstances?

Question Title

* Are you able to visit the surgery during the working hours of 8am -6:30pm Monday to Friday?

Question Title

* How would you prefer to book appointments?

Question Title

* How would you prefer your appointments to take place?

Question Title

* Generally, how easy is it to get through to someone at the surgery on the telephone?

Question Title

* Do you know if your practice offers any of the following through My Health Online MHOL?

  Answer
Booking routine appointments online
Ordering repeat prescriptions online

Question Title

* Generally, how do you find making a routine appointment at the surgery?

Question Title

* When you have telephoned the practice and been told you would receive a call back, were you given an estimated time slot i.e. am or pm?

Question Title

* Generally, have your routine appointments been carried out in the practice, via the telephone or video consultation?

Question Title

* Generally, how easy is it to make an urgent appointment at the surgery?

Question Title

* Generally, have your urgent appointments been carried out in the practice, via the telephone or video consultation?

Question Title

* If you have had an appointment via telephone or video consultation, how satisfied were you with the care you received?

Question Title

* If you have asked for an urgent appointment in the last 12 months, when did the appointment then take place?

Question Title

* How long do you normally have to wait for a routine appointment with a GP of your choice?

Question Title

* How long do you normally have to wait for a routine appointment another Health Care Professional of your choice?

Question Title

* How helpful do you find the reception team at the surgery?

Question Title

* Have you been seen by a Health Care Professional other than a GP?

  Answer
Minor Illness Nurse
Advanced Nurse Practioner
Practice Paramedic
Practice Pharmacist

Question Title

* How satisfied were you with the care you received?

Question Title

* When you need information about appointment booking/times, what ways have you tried to find that information?

  Answer
Speaking to someone at the surgery
Surgery website
Surgery leaflet
Display boards or posters within the surgery

Question Title

* How would you rate your overall experience accessing services at this surgery?

Question Title

* Please tell us more about your experience rating and anything else you wish to share

T