Borras Park Surgery: Questionnaire

Access Questionnaire

Dear Patient

We would be grateful if you would complete this survey about accessing the services we provide.

Your opinions are very valuable.
Please answer ALL the questions that apply to you. There are no right or wrong answers and staff will NOT be able to identify your individual responses.

1. In the past 12 months how many times have you seen a doctor in this practice?

  none
  once or twice
  three or four
  five or six
  seven or more

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2. How do you rate the hours that the practice is open for appointments?

  very poor
  poor
  fair
  good
  very good
  excellent

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3. What additional hours would you like the practice to be open? (Please tick all that apply)

   early morning
   lunchtimes
   evenings
   weekends
  none, I am satisfied

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4a. Thinking of times when you want to see a particular doctor. How quickly do you usually get to see that doctor?

  same day
  next working day
  within 2 working days
  within 3 working days
  within 4 working days
  5 or more working days
  does not apply

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4b. How do you rate the answer to 4a?

  very poor
  poor
  fair
  good
  very good
  excellent
  does not apply

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5a. Thinking of times when you are willing to see any doctor: How quickly do you usually get seen?

  same day
  next working day
  within 2 working days
  within 3 working days
  within 4 working days
  5 or more working days
  does not apply

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5b. How do you rate the answer to 5a?

  very poor
  poor
  fair
  good
  very good
  excellent
  does not apply

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6. If you need to see a GP urgently, can you normally get seen on the same day?

  yes
  no
  don't know/never need to

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7a. How long do you usually have to wait at the practice for your consultation to begin?

  5 minutes or less
  6-10 minutes
  11-20 minutes
  21-30 minutes
  more than 30 minutes

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7b. How do you rate the answer to 7a?

  very poor
  poor
  fair
  good
  very good
  excellent

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8a. Thinking of times you have phoned the practice,how do you rate the following? Ability to get through to the practice on the phone

  very poor
  poor
  fair
  good
  very good
  excellent
  don't know/never tried

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8b. Ability to speak to a doctor on the phone when you have a question or need medical advice

  very poor
  poor
  fair
  good
  very good
  excellent
  don't know/never tried

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9a. In general how often do you see your usual doctor?

  always
  almost always
  alot of the time
  some of the time
  almost never
  never

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9b. How do you rate the answer to 9a?

  very poor
  poor
  fair
  good
  very good
  excellent

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10. Have you seen a nurse from your practice in the past 12 months?

yes
no

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11. Finally, it will help us to understand your answers if you could tell us a little about yourself. Are you?

male
female

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12. How old are you?

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13. Do you have any longstanding illness, disability or infirmity? Longstanding means anything that has or is likely to affect you over a period of time

yes
no

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14. Which ethnic group do you belong to?

  white
  black or black british
  asian or asian british
  mixed
  chinese
  other ethnic group

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