TEM-01-ADM-Clinic Feedback Survey

We know that the best way to improve our clinical services is to hear from members of our community. We’d like to know what you think about our service and rest assured, this information is safe with us. Your answers and information will only ever be used to improve our service delivery to you and others like you.

	Poor	Fair	Good	Very Good	Excellent
Seeing the clinician of your choice	Seeing the clinician of your choice Poor	Seeing the clinician of your choice Fair	Seeing the clinician of your choice Good	Seeing the clinician of your choice Very Good	Seeing the clinician of your choice Excellent
Getting an appointment for the time that suited you	Getting an appointment for the time that suited you Poor	Getting an appointment for the time that suited you Fair	Getting an appointment for the time that suited you Good	Getting an appointment for the time that suited you Very Good	Getting an appointment for the time that suited you Excellent
Getting reminders for your appointment	Getting reminders for your appointment Poor	Getting reminders for your appointment Fair	Getting reminders for your appointment Good	Getting reminders for your appointment Very Good	Getting reminders for your appointment Excellent

Poor

Fair

Good

Very Good

Excellent

Seeing the clinician of your choice

Seeing the clinician of your choice Poor

Seeing the clinician of your choice Fair

Seeing the clinician of your choice Good

Seeing the clinician of your choice Very Good

Seeing the clinician of your choice Excellent

Getting an appointment for the time that suited you

Getting an appointment for the time that suited you Poor

Getting an appointment for the time that suited you Fair

Getting an appointment for the time that suited you Good

Getting an appointment for the time that suited you Very Good

Getting an appointment for the time that suited you Excellent

Getting reminders for your appointment

Getting reminders for your appointment Poor

Getting reminders for your appointment Fair

Getting reminders for your appointment Good

Getting reminders for your appointment Very Good

Getting reminders for your appointment Excellent

	Poor	Fair	Good	Very Good	Excellent
Were welcoming upon your arrival	Were welcoming upon your arrival Poor	Were welcoming upon your arrival Fair	Were welcoming upon your arrival Good	Were welcoming upon your arrival Very Good	Were welcoming upon your arrival Excellent
Were courteous and polite	Were courteous and polite Poor	Were courteous and polite Fair	Were courteous and polite Good	Were courteous and polite Very Good	Were courteous and polite Excellent
Let you know about any delays while you were waiting	Let you know about any delays while you were waiting Poor	Let you know about any delays while you were waiting Fair	Let you know about any delays while you were waiting Good	Let you know about any delays while you were waiting Very Good	Let you know about any delays while you were waiting Excellent

Poor

Fair

Good

Very Good

Excellent

Were welcoming upon your arrival

Were welcoming upon your arrival Poor

Were welcoming upon your arrival Fair

Were welcoming upon your arrival Good

Were welcoming upon your arrival Very Good

Were welcoming upon your arrival Excellent

Were courteous and polite

Were courteous and polite Poor

Were courteous and polite Fair

Were courteous and polite Good

Were courteous and polite Very Good

Were courteous and polite Excellent

Let you know about any delays while you were waiting

Let you know about any delays while you were waiting Poor

Let you know about any delays while you were waiting Fair

Let you know about any delays while you were waiting Good

Let you know about any delays while you were waiting Very Good

Let you know about any delays while you were waiting Excellent

	Poor	Fair	Good	Very Good	Excellent
Treated with respect	Treated with respect Poor	Treated with respect Fair	Treated with respect Good	Treated with respect Very Good	Treated with respect Excellent
Cared about you as a person	Cared about you as a person Poor	Cared about you as a person Fair	Cared about you as a person Good	Cared about you as a person Very Good	Cared about you as a person Excellent
Told you all you wanted to know about you condition	Told you all you wanted to know about you condition Poor	Told you all you wanted to know about you condition Fair	Told you all you wanted to know about you condition Good	Told you all you wanted to know about you condition Very Good	Told you all you wanted to know about you condition Excellent

Poor

Fair

Good

Very Good

Excellent

Treated with respect

Treated with respect Poor

Treated with respect Fair

Treated with respect Good

Treated with respect Very Good

Treated with respect Excellent

Cared about you as a person

Cared about you as a person Poor

Cared about you as a person Fair

Cared about you as a person Good

Cared about you as a person Very Good

Cared about you as a person Excellent

Told you all you wanted to know about you condition

Told you all you wanted to know about you condition Poor

Told you all you wanted to know about you condition Fair

Told you all you wanted to know about you condition Good

Told you all you wanted to know about you condition Very Good

Told you all you wanted to know about you condition Excellent

	Poor	Fair	Good	Very Good	Excellent
Helped you understand your medical condition	Helped you understand your medical condition Poor	Helped you understand your medical condition Fair	Helped you understand your medical condition Good	Helped you understand your medical condition Very Good	Helped you understand your medical condition Excellent
Explained the purpose of tests and treatment	Explained the purpose of tests and treatment Poor	Explained the purpose of tests and treatment Fair	Explained the purpose of tests and treatment Good	Explained the purpose of tests and treatment Very Good	Explained the purpose of tests and treatment Excellent
Really listened to what you had to say	Really listened to what you had to say Poor	Really listened to what you had to say Fair	Really listened to what you had to say Good	Really listened to what you had to say Very Good	Really listened to what you had to say Excellent

Poor

Fair

Good

Very Good

Excellent

Helped you understand your medical condition

Helped you understand your medical condition Poor

Helped you understand your medical condition Fair

Helped you understand your medical condition Good

Helped you understand your medical condition Very Good

Helped you understand your medical condition Excellent

Explained the purpose of tests and treatment

Explained the purpose of tests and treatment Poor

Explained the purpose of tests and treatment Fair

Explained the purpose of tests and treatment Good

Explained the purpose of tests and treatment Very Good

Explained the purpose of tests and treatment Excellent

Really listened to what you had to say

Really listened to what you had to say Poor

Really listened to what you had to say Fair

Really listened to what you had to say Good

Really listened to what you had to say Very Good

Really listened to what you had to say Excellent

	Poor	Fair	Good	Very Good	Excellent
Information about how to stay healthy	Information about how to stay healthy Poor	Information about how to stay healthy Fair	Information about how to stay healthy Good	Information about how to stay healthy Very Good	Information about how to stay healthy Excellent
Information about side effects of any treatment	Information about side effects of any treatment Poor	Information about side effects of any treatment Fair	Information about side effects of any treatment Good	Information about side effects of any treatment Very Good	Information about side effects of any treatment Excellent
Gave you useful written information	Gave you useful written information Poor	Gave you useful written information Fair	Gave you useful written information Good	Gave you useful written information Very Good	Gave you useful written information Excellent

Poor

Fair

Good

Very Good

Excellent

Information about how to stay healthy

Information about how to stay healthy Poor

Information about how to stay healthy Fair

Information about how to stay healthy Good

Information about how to stay healthy Very Good

Information about how to stay healthy Excellent

Information about side effects of any treatment

Information about side effects of any treatment Poor

Information about side effects of any treatment Fair

Information about side effects of any treatment Good

Information about side effects of any treatment Very Good

Information about side effects of any treatment Excellent

Gave you useful written information

Gave you useful written information Poor

Gave you useful written information Fair

Gave you useful written information Good

Gave you useful written information Very Good

Gave you useful written information Excellent

	Poor	Fair	Good	Very Good	Excellent
Privacy when you were examined	Privacy when you were examined Poor	Privacy when you were examined Fair	Privacy when you were examined Good	Privacy when you were examined Very Good	Privacy when you were examined Excellent
Being able to discuss personal issues that were sensitive	Being able to discuss personal issues that were sensitive Poor	Being able to discuss personal issues that were sensitive Fair	Being able to discuss personal issues that were sensitive Good	Being able to discuss personal issues that were sensitive Very Good	Being able to discuss personal issues that were sensitive Excellent
Asked you permission before another clinician came to your appointment	Asked you permission before another clinician came to your appointment Poor	Asked you permission before another clinician came to your appointment Fair	Asked you permission before another clinician came to your appointment Good	Asked you permission before another clinician came to your appointment Very Good	Asked you permission before another clinician came to your appointment Excellent

Poor

Fair

Good

Very Good

Excellent

Privacy when you were examined

Privacy when you were examined Poor

Privacy when you were examined Fair

Privacy when you were examined Good

Privacy when you were examined Very Good

Privacy when you were examined Excellent

Being able to discuss personal issues that were sensitive

Being able to discuss personal issues that were sensitive Poor

Being able to discuss personal issues that were sensitive Fair

Being able to discuss personal issues that were sensitive Good

Being able to discuss personal issues that were sensitive Very Good

Being able to discuss personal issues that were sensitive Excellent

Asked you permission before another clinician came to your appointment

Asked you permission before another clinician came to your appointment Poor

Asked you permission before another clinician came to your appointment Fair

Asked you permission before another clinician came to your appointment Good

Asked you permission before another clinician came to your appointment Very Good

Asked you permission before another clinician came to your appointment Excellent

	Poor	Fair	Good	Very Good	Excellent
Knew your medical history at the clinic	Knew your medical history at the clinic Poor	Knew your medical history at the clinic Fair	Knew your medical history at the clinic Good	Knew your medical history at the clinic Very Good	Knew your medical history at the clinic Excellent
Gave you options for specialist or other health providers you need to see	Gave you options for specialist or other health providers you need to see Poor	Gave you options for specialist or other health providers you need to see Fair	Gave you options for specialist or other health providers you need to see Good	Gave you options for specialist or other health providers you need to see Very Good	Gave you options for specialist or other health providers you need to see Excellent
Coordinated different health professionals	Coordinated different health professionals Poor	Coordinated different health professionals Fair	Coordinated different health professionals Good	Coordinated different health professionals Very Good	Coordinated different health professionals Excellent

Poor

Fair

Good

Very Good

Excellent

Knew your medical history at the clinic

Knew your medical history at the clinic Poor

Knew your medical history at the clinic Fair

Knew your medical history at the clinic Good

Knew your medical history at the clinic Very Good

Knew your medical history at the clinic Excellent

Gave you options for specialist or other health providers you need to see

Gave you options for specialist or other health providers you need to see Poor

Gave you options for specialist or other health providers you need to see Fair

Gave you options for specialist or other health providers you need to see Good

Gave you options for specialist or other health providers you need to see Very Good

Gave you options for specialist or other health providers you need to see Excellent

Coordinated different health professionals

Coordinated different health professionals Poor

Coordinated different health professionals Fair

Coordinated different health professionals Good

Coordinated different health professionals Very Good

Coordinated different health professionals Excellent

	Poor	Fair	Good	Very Good	Excellent
Suitability of clinic opening hours	Suitability of clinic opening hours Poor	Suitability of clinic opening hours Fair	Suitability of clinic opening hours Good	Suitability of clinic opening hours Very Good	Suitability of clinic opening hours Excellent
Being able to see a doctor of your choice	Being able to see a doctor of your choice Poor	Being able to see a doctor of your choice Fair	Being able to see a doctor of your choice Good	Being able to see a doctor of your choice Very Good	Being able to see a doctor of your choice Excellent
Providing your test results in an understanding way	Providing your test results in an understanding way Poor	Providing your test results in an understanding way Fair	Providing your test results in an understanding way Good	Providing your test results in an understanding way Very Good	Providing your test results in an understanding way Excellent

Poor

Fair

Good

Very Good

Excellent

Suitability of clinic opening hours

Suitability of clinic opening hours Poor

Suitability of clinic opening hours Fair

Suitability of clinic opening hours Good

Suitability of clinic opening hours Very Good

Suitability of clinic opening hours Excellent

Being able to see a doctor of your choice

Being able to see a doctor of your choice Poor

Being able to see a doctor of your choice Fair

Being able to see a doctor of your choice Good

Being able to see a doctor of your choice Very Good

Being able to see a doctor of your choice Excellent

Providing your test results in an understanding way

Providing your test results in an understanding way Poor

Providing your test results in an understanding way Fair

Providing your test results in an understanding way Good

Providing your test results in an understanding way Very Good

Providing your test results in an understanding way Excellent

TEM-01-ADM-Clinic Feedback

Question Title

* 1. Making an appointment and waiting to see a clinician at your last visit.

Please rate each statement below.

Question Title

* 2. Your experience with reception staff at your last visit.

Please rate each statement below.

Question Title

* 3. Your experience of the interpersonal skills of the clinician at your last visit.

Please rate each statement below.

Question Title

* 4. Your experience of the way clinicians communicated with you at your last visit.

Please rate each statement below.

Question Title

* 5. Your experience of the information given to you by clinicians at your last visit.

Please rate each statement below.

Question Title

* 6. Your experience of privacy at your last visit.

Please rate each statement below.

Question Title

* 7. Your experience of the way your clinician worked with other healthcare professionals at your last visit.

Please rate each statement below.

Question Title

* 8. Thinking about your experience with the general practice over the past year.

Please rate each statement below.

Question Title

* 9. If you could change one thing about the practice, what would you change?

TEM-01-ADM-Clinic Feedback

Question Title

* 1. Making an appointment and waiting to see a clinician at your last visit.Please rate each statement below.

Question Title

* 2. Your experience with reception staff at your last visit.Please rate each statement below.

Question Title

* 3. Your experience of the interpersonal skills of the clinician at your last visit.Please rate each statement below.

Question Title

* 4. Your experience of the way clinicians communicated with you at your last visit.Please rate each statement below.

Question Title

* 5. Your experience of the information given to you by clinicians at your last visit.Please rate each statement below.

Question Title

* 6. Your experience of privacy at your last visit.Please rate each statement below.

Question Title

* 7. Your experience of the way your clinician worked with other healthcare professionals at your last visit.Please rate each statement below.

Question Title

* 8. Thinking about your experience with the general practice over the past year.Please rate each statement below.

Question Title

* 9. If you could change one thing about the practice, what would you change?

* 1. Making an appointment and waiting to see a clinician at your last visit.

Please rate each statement below.

* 2. Your experience with reception staff at your last visit.

Please rate each statement below.

* 3. Your experience of the interpersonal skills of the clinician at your last visit.

Please rate each statement below.

* 4. Your experience of the way clinicians communicated with you at your last visit.

Please rate each statement below.

* 5. Your experience of the information given to you by clinicians at your last visit.

Please rate each statement below.

* 6. Your experience of privacy at your last visit.

Please rate each statement below.

* 7. Your experience of the way your clinician worked with other healthcare professionals at your last visit.

Please rate each statement below.

* 8. Thinking about your experience with the general practice over the past year.

Please rate each statement below.