1.Have you contacted the surgery to book an appointment in the last month?

Yes

No

2.How did you contact the surgery?

Phoned for appointment

Used online request form for appointment

Came into the surgery to request an appointment

Not applicable, I did not request an appointment

3.If you used the online request form in the last month, did you find this:

Better than Calling

Worse than calling

Not applicable, I have not used the online form

4.If you called the surgery in the last month, did you find the service:

Better than when called previously

Worse than when called previously

Not applicable, I did not call

5.If you requested an appointment, were we able to offer you an appointment:

Yes, I was offered an appointment

No, I was redirected to alternative NHS services

Not applicable, I did not request an appointment

6.If you have requested an appointment in the past month, and have used our service in the past year, did you find it :

Easier to make an appointment than when I requested one previously

Less easy to make an appointment than when I requested one previously

Not applicable, I have not requested an appointment recently and in the past year