Patient Survey

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Please help us

By completing this short survey you are providing us with valuable information to help us assess and improve the services that we offer.

Thank you for your time

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Questions

For each of the following questions rate your experience

Poor "1" to Good "7"

Example question: How helpful do you find the receptionists

1
2
3
4
5
6
7
Poor
Good

A score of 5 would show that you feel far closer to the “Good” statement than "Poor"

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All questions marked with a * are mandatory

Based on your last visit to see a Clinician
1
2
3
4
5
6
7
Poor
Good
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Thinking about Receptionists and Appointments
1
2
3
4
5
6
7
Poor
Good
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Thinking about the availability of information
1
2
3
4
5
6
7
Poor
Good
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Thinking about our building and property
1
2
3
4
5
6
7
Poor
Good
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Thinking about the care you get from your doctors and nurses overall
1
2
3
4
5
6
7
Poor
Good
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It will help us to understand your answers if you could tell us a little about yourself
Are you: *
How old are you: *
Do you have a long-standing health condition: *
What is your ethnic group: *
Which of the following best describes you: *
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Any other comments you’d like to make us aware of
Would you like to leave any additional comments: *

This survey will be treated and managed anonymously. 

Any comments that you leave should not contain any information that may risk this anonymity i.e. Names, contact details etc.

Privacy Consent

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