Primary Care Centre Patient satisfaction survey Question Title * 1. Age Group 0-17 18-39 40-59 Over 60 Question Title * 2. How many times have you used the PCC within the last 12 months? 0-5 6-10 10-20 Over 20 Question Title * 3. On the most recent occasion, why did you contact the PCC? (may tick more than one) For a telephone consultation For a face to face consultation For a repeat prescription Health card registration Other (please specify) Question Title * 4. What method did you use to make your appointment? Telephone booking MyGHA Question Title * 5. If you used the telephone booking system how long did you wait until your call was answered? 0-5 mins 5-10 mins 10-15 mins More than 15 mins Question Title * 6. Were you able to book your appointment with your preferred clinician? (doctor, nurse practitioner/nurse)? Yes No Not Applicable Question Title * 7. If you received a telephone consultation, were you satisfied with the response to your medical concern? Yes No (Please give details) Question Title * 8. How would you rate our telephone appointment service at the Primary Care Centre? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 9. How would you rate the overall care you received by the Primary Care Centre nursing staff? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 10. How would you rate the overall care you received by the Primary Care Centre General Practitioners? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 11. How would you rate the overall care you received by the Primary Care Centre administration staff? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 12. How would you rate the overall service provided by the Primary Care Centre Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 13. How would you rate your follow-up care with regards to test results, i.e blood test, scans, X-rays etc? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 14. How would you rate your follow-up care with regard to nursing services i.e blood pressure, wound care, blood tests, diabetes, dermatology, sexual health etc)? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 15. How would you rate the repeat prescription service? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 16. How would you rate the health card registration service? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 17. How would you rate the doctor on call service? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 18. How would you rate the evening clinic service? Poor Satisfactory Good Excellent Not Applicable Poor Satisfactory Good Excellent Not Applicable Question Title * 19. What could we do differently that might have made your experience more positive? Done
