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* 1. Getting an appointment with a doctor. How do you find the following;

  Excellent Good Neutral Fair Poor
Getting an appointment on the same day
Booking an appointment in the next 48-72 hours
Booking an appointment more than 72 hours ahead
Booking an appointment with the doctor of your choice

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* 2. Getting an appointment with a nurse. How do you find the following;

  Excellent Good Neutral Fair Poor
Getting an appointment on the same day
Booking an appointment in the next 48-72 hours
Booking an appointment more than 72 hours ahead
Booking an appointment with the nurse of your choice

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* 3. How well do you think the surgery keeps patients informed of changes at the surgery?

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* 4. How would you like the surgery to keep you informed of changes?

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* 5. Would you be happy to receive text reminders for appointments and other things at the surgery?

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* 6. Demand on the telephone system is high - would you be interested in being able to the following things on line?

  Yes No
Order repeat medication
Book an appointment

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* 7. To ease the number of calls in the morning we are thinking of asking patients to call for results between 2pm & 4pm. Do you think this is appropriate?

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* 8. How helpful and professional do you find the staff at the surgery?

  Excellent Good Neutral Fair Poor
Reception Staff
Dispensing Staff
Doctors
Nurses

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* 9. How would you rate the surgery on the following?

  Excellent Good Neutral Fair Poor
Cleanliness of Premises
Waiting Area
Cleanliness of toilet
Consulting room facilities

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* 10. Do you have any other comments you would like to make about the surgery?

T