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Saturday, 25 May 2013
Stuart Road Surgery Patient Survey 2011

We at Stuart Road Surgery are conducting a survey on the services we provide to be able to improve these in the future.

Please take a moment to complete the following questions.

Thank You!


General


Opening Times


  1. Are you happy with the Surgery opening times?

    2. ( Optional )
YES
NO

  1. IF NO

    What time would you like the surgery to open in the morning?

    2. ( Optional )

  1. What time would you like the surgery to close in the evening?

    2. ( Optional )

Appointments


  1. Are you generally happy with the current system for making surgery appointments?

    2. ( Optional )
YES
NO

  1. IF NO

    Would you like to be able to book your appointments online?

    2. ( Optional )
YES
NO

  1. Would you like a walk in / sit & wait service for urgent on-the-day appointments?

    2. ( Optional )
YES
NO

  1. Would you like a late night surgery?

    2. ( Optional )
YES
NO

Blood Test Appointments


  1. Are you happy with the current system for making blood test appointments?

    2. ( Optional )
YES
NO

  1. IF NO

    Do you require earlier blood test appointments?

    2. ( Optional )
YES
NO

  1. Do you require later blood test appointments?

    2. ( Optional )
YES
NO

Telephone System


  1. Are you generally happy with the current surgery telephone system?

    2. ( Optional )
YES
NO

  1. IF NO

    Would you prefer a push button service with options when ringing the surgery?

    2. ( Optional )
YES
NO

  1. Can you generally get through when calling the surgery?

    2. ( Optional )
YES
NO

  1. IF NO

    Would you prefer an engaged tone or to be held in a queue?

    2. ( Optional )
Engaged tone
Queue

Premises


  1. Are you generally satisfied with the surgery premises?

    2. ( Optional )
YES
NO

  1. IF NO

    In what way do you think we could improve our premises?

    2. ( Optional )

  1. Do you feel the building needs more lighting?

    2. ( Optional )
YES
NO

  1. Do you think we need better disabled access?

    2. ( Optional )
YES
NO

Prescription Service


  1. Are you happy with the current prescription line opening & closing times?

    2. ( Optional )
YES
NO

  1. IF NO

    How would you like to see the prescription line extended?

    2. ( Optional )

  1. How do you currently order your prescriptions?

    2. ( Optional )

Services and Information


  1. Do you think you receive enough information on the services we provide?

    2. ( Optional )
YES
NO

  1. What other ways do you wish to find out about our services? For E.G. Website, Posters, Newsletter..?

    2. ( Optional )

General


  1. What is your age?

    2. ( Optional )

  1. What is your Gender?

    2. ( Optional )
MALE
FEMALE
TRANSGENDER

  1. What is your Ethnic Origin?

    2. ( Optional )

  1. Do you suffer with a Long Term Chronic Condition?

    2. ( Optional )
YES
NO

  1. Do you have a carer?

    2. ( Optional )
YES
NO

  1. Are you a carer for someone?

    2. ( Optional )
YES
NO



Thank you for your time

Best Wishes

Stuart Road Surgery