Your General Practice are keen to obtain the views and experiences of patients accessing practice services since the pandemic in March 2020.  We appreciate that there have been many changes made to the ways in which we work and would like hear your honest thoughts and experiences to help us as we move forward.

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* 1. What is the name of your General Practice?

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* 2. What is your age group?

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* 3. What is your gender?

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* 4. Whom have you had contact with in your General Practice since March 2020?

Please tell us:

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* 5. What method/s did your interaction take place with the surgery?

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* 6. During the pandemic the way you contacted the practice and interacted with staff will have been different? Is there anything you found beneficial you would like the practice to keep doing in the future?

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* 7. Do you have any long term conditions?

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* 8. The way you have received care for your long term condition will have changed during the pandemic. Can you describe your experiences including any benefits or disadvantages to this new way of care?

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* 9. Has the way you reorder your medication changed?

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* 10. If yes to Q9 above, has the process improved?

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* 11. Have you had any interactions with specialist services or hospital services during the pandemic?

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* 12. Do you currently feel safe and protected when attending your General Practice?

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* 13. Can you suggest ways that your general practice can be improved?

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* 14. Are you willing to get involved in general practice quality improvement initiatives which aim to improve treatment, care and wellbeing services to patients?

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* 15. Have you received a service from the Community Care and Treatment Services?

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* 16. If yes to Q15 above, select which service? 

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* 17. How did you feel about receiving this care from elsewhere?

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* 18. On a scale of 1-10 how would you rate the service provided by your general practice BEFORE the pandemic? (1 being low and 10 high)

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* 19. On a scale of 1-10 how would you rate the service provided by your General Practice SINCE the pandemic in March 2020? (1 being low and 10 high)

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* 20. Any other comments:

Thank you for taking the time to complete this questionnaire.
Your responses will be anonymous and used to help the practice make improvements.
 Please return this to the receptionist in your practice or place this in the feedback box provided.

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