Clapham Family Practice

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Clapham Family Practice Patient Questionnaire Nov 2011 – Jan 2012

Clapham Family Practice want to ensure that we provide a good service and a high standard of care. In order to help us to continue to improve our service we need your views. Please take a few minutes to complete this questionnaire. Please try to answer all of the questions. All answers will be treated confidentially.

Alternatively you can download the survey to complete. Click here to download.

1. How long have you been registered with the practice? *


2. In the past 12 months how many times have you seen a doctor at the practice?


3. In the past 12 months how many times have you seen a nurse at the practice?


4. At your most recent visit, how quickly were you able to get an appointment?


5. How quickly do you normally get to see the nurse?


6. How do you rate the way you were treated by the Nurse?


7. If you need to see a doctor urgently can you normally get an appointment within 24 hours?


8. Do you have a regular doctor you see?


9. If you have a regular doctor, how often are you able to see him / her?


10. How do you rate the way you were treated by the Doctors?


11. When you arrive at the Practice for your appointment, how long do you normally have to wait to be seen?


12. How do you rate the way you were treated by the receptionists?


13. The Practice appointments are between 8:30am – 12pm Monday - Friday and
then 4pm – 6:30pm Mondays, Wednesdays & Fridays and 4pm - 8:30pm Tuesdays
and Thursdays and Saturday mornings 9am – 12pm
What additional appointments would you like the Practice to provide?


14. How do you rate the opening hours of the Practice?


15. How easy do you find the following:

  Difficult Reasonable Good
Getting through on the phone:
Speaking to a doctor on the phone:
Getting test results on the phone:
Getting repeat prescriptions:
Getting a home visit:
Emailing the Surgery:
Booking appointments online:

16. What do you think is the best way for new patients to register?


17. Are you happy with the range of services provided by the Practice?


18. Are there any other services you would like to see provided in the Practice?

No Yes If Yes Please State:

19. How clean is the Surgery?


20. How important is it to you that the Practice has a website?


21. Do you use the internet to find out information about the Surgery or to leave comments?


22. How do you prefer to be contacted with specific information related to you?

Post E-mail Telephone Text Message
Other (Please State)

23. What do you feel is the most effective way of getting health information to patients?

Posters in the Practice Leaflets in the Practice Website Text Messages
Other (Please State)

24. Please tell us your age range?


25. Which ethnic group do you belong to?

Other ethnic group, please state:


26. Please make any other comments below that you feel could help us improve our services?



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