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Central Medical Group Customer Satisfaction Survey

1.Making an appointment and waiting to see a clinician at your last visit.
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
Seeing a clinician of your choice
Getting an appointment for a time that suited you
The comfort of the waiting room
2.Your experience with reception staff at your last visit
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
Were welcoming upon your arrival
Were professional in dealing with you
Considered your needs when making an appointment
Were courteous and polite
3.Your experience of the interpersonal skills of the clinician at your last visit
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
Treated you with respect
Understood your personal circumstances
Made you feel comfortable
Showed sensitivity to your concerns
4.Your experience of the way clinicians communicated with you at your last visit
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
The clinician had enough time to listen to what you had to say
Helped you understand your medical condition
Explained the purpose of tests and treatment
Involved you in decisions
5.Your experience of the information given to you by clinicians at your last visit
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
The amount of useful information given about your condition
Information about how to take your medicines
Information about side effects of any treatment
Information about how to prevent future health problems
6.Your experience of privacy at your last visit
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
Privacy in the waiting room
Privacy when you were examined
Being able to discuss personal issues that were sensitive
7.Your experience of the way your clinician worked with other healthcare professionals at your last visit.
Please rate each statement
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
The clinician was aware of advice you had received from other health professionals
Gave you options for specialists or other health providers you need to see
Allowed you to have the final choice about which other professionals to see
8.Thinking about your experience with the general practice over the past year Please rate the practice on the following
Poor
Fair
Good
Very good
Excellent
N/A
Don't know
Being able to see a doctor at the clinic when you needed urgent care
Information about where to get medical care when the clinic is closed
The amount you paid for each visit to the doctor
Providing your test results in an understandable way
9.How do you describe your gender
10.Do you consider yourself to be of Aboriginal and/or Torres Strait Islander descent?
11.Have you been to another general practice in the last year?
12.What is your age?
13.Which languages do you speak at home? Tick all spoken
14.How long have you been coming to this practice?
15.Do you have any of these concession cards?
16.How many times have you visited this practice over the past 12 months?
17.What is the highest level of education you have reached?
18.Was this visit for yourself or someone you are caring for?