Improving the Practice Questionnaire | Castlehead Medical Centre

Are you seeing

Doctor

Practice Nurse

Health Care Assistant

Name of Doctor/Practice Nurse (if applicable)

Please rate each of the following areas by ticking once on each line

Access to a Doctor or Nurse

Speed at which the telephone was answered initially

No experience

Poor

Fair

Good

Very Good

Excellent

Speed at which the telephone was answered if call transferred

No experience

Poor

Fair

Good

Very Good

Excellent

Length of time you had to wait for an appointment

No experience

Poor

Fair

Good

Very Good

Excellent

Convenience of day and time of your appointment

No experience

Poor

Fair

Good

Very Good

Excellent

Seeing the Doctor of your choice

No experience

Poor

Fair

Good

Very Good

Excellent

Length of time waiting to check with reception

No experience

Poor

Fair

Good

Very Good

Excellent

Opportunity of speaking to a Doctor or Nurse on the telephone when necessary

No experience

Poor

Fair

Good

Very Good

Excellent

Opportunity of obtaining a home visit when necessary

No experience

Poor

Fair

Good

Very Good

Excellent

Level of satisfaction with the after hours service

No experience

Poor

Fair

Good

Very Good

Excellent

Obtaining a repeat prescription

Prescription ready on time

No experience

Poor

Fair

Good

Very Good

Excellent

Prescription correctly issued

No experience

Poor

Fair

Good

Very Good

Excellent

Handling of any queries

No experience

Poor

Fair

Good

Very Good

Excellent

Obtaining test results

Were you told when to contact us for your results?

No experience

Poor

Fair

Good

Very Good

Excellent

Results available when you contacted us

No experience

Poor

Fair

Good

Very Good

Excellent

Level of satisfaction with the amount of information provided

No experience

Poor

Fair

Good

Very Good

Excellent

Level of satisfaction with the manner in which the result was given

No experience

Poor

Fair

Good

Very Good

Excellent

About the staff

The information provided by the Reception staff

No experience

Poor

Fair

Good

Very Good

Excellent

The helpfulness of the Reception staff

No experience

Poor

Fair

Good

Very Good

Excellent

The information provided by other staff

No experience

Poor

Fair

Good

Very Good

Excellent

The helpfulness of other staff

No experience

Poor

Fair

Good

Very Good

Excellent

About the Doctor/Nurse (whom you just/last saw)

My overall satisfaction with this visit to the doctor/nurse

No experience

Poor

Fair

Good

Very Good

Excellent

The warmth of the doctor's/nurse's greeting to me was

No experience

Poor

Fair

Good

Very Good

Excellent

On this visit I would rate the doctor's/nurse's ability to really listen to me were

No experience

Poor

Fair

Good

Very Good

Excellent

The doctor's/nurse's explanations of things to me were

No experience

Poor

Fair

Good

Very Good

Excellent

The extent to which i felt reassured by this doctor/nurse was

No experience

Poor

Fair

Good

Very Good

Excellent

My confidence in this doctor's/nurse's ability is

No experience

Poor

Fair

Good

Very Good

Excellent

The opportunity the doctor gave me to express my concerns or fears was

No experience

Poor

Fair

Good

Very Good

Excellent

The respect shown to me by this doctor was

No experience

Poor

Fair

Good

Very Good

Excellent

The amount of time given to me for this visit was

No experience

Poor

Fair

Good

Very Good

Excellent

And finally

My overall satisfaction with this practice

No experience

Poor

Fair

Good

Very Good

Excellent

Any further comments

The following questions provide us only with general information about the range of people who have
responded to this survey. It will not be used to identify you, and will remain confidential.

How old are you?

Are you male or female?

How many years have you been attending this Practice?

Thank you very much for your time and assistance.