Primary Care Centre Survey

Question Title

1. Age Group (Required.)

0-17

18-39

40-59

Over 60

Question Title

2. How many times have you used the PCC within the last 12 months? (Required.)

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) (Required.)

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? (Required.)

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)? (Required.)

Yes

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? (Required.)

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? (Required.)

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? (Required.)

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? (Required.)

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 (Required.)

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? (Required.)

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)? (Required.)

Poor

Satisfactory

Good

Excellent

Not Applicable

Poor

Satisfactory

Good

Excellent

Not Applicable

Question Title

15. How would you rate the repeat prescription service? (Required.)

Poor

Satisfactory

Good

Excellent

Not Applicable

Poor

Satisfactory

Good

Excellent

Not Applicable

Question Title

16. How would you rate the health card registration service? (Required.)

Poor

Satisfactory

Good

Excellent

Not Applicable

Poor

Satisfactory

Good

Excellent

Not Applicable

Question Title

17. How would you rate the doctor on call service? (Required.)

Poor

Satisfactory

Good

Excellent

Not Applicable

Poor

Satisfactory

Good

Excellent

Not Applicable

Question Title

18. How would you rate the evening clinic service? (Required.)

Poor

Satisfactory

Good

Excellent

Not Applicable

Poor

Satisfactory

Good

Excellent

Not Applicable

Primary Care Centre

Patient satisfaction survey

Question Title

1. Age Group (Required.)

Question Title

2. How many times have you used the PCC within the last 12 months? (Required.)

Question Title

3. On the most recent occasion, why did you contact the PCC? (may tick more than one) (Required.)

Question Title

4. What method did you use to make your appointment? (Required.)

Question Title

5. If you used the telephone booking system how long did you wait until your call was answered?

Question Title

6. Were you able to book your appointment with your preferred clinician? (doctor, nurse practitioner/nurse)? (Required.)

Question Title

7. If you received a telephone consultation, were you satisfied with the response to your medical concern?

Question Title

8. How would you rate our telephone appointment service at the Primary Care Centre? (Required.)

Question Title

9. How would you rate the overall care you received by the Primary Care Centre nursing staff? (Required.)

Question Title

10. How would you rate the overall care you received by the Primary Care Centre General Practitioners? (Required.)

Question Title

11. How would you rate the overall care you received by the Primary Care Centre administration staff? (Required.)

Question Title

12. How would you rate the overall service provided by the Primary Care Centre (Required.)

Question Title

13. How would you rate your follow-up care with regards to test results, i.e blood test, scans, X-rays etc? (Required.)

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)? (Required.)

Question Title

15. How would you rate the repeat prescription service? (Required.)

Question Title

16. How would you rate the health card registration service? (Required.)

Question Title

17. How would you rate the doctor on call service? (Required.)

Question Title

18. How would you rate the evening clinic service? (Required.)

Question Title

19. What could we do differently that might have made your experience more positive?

Primary Care Centre

Patient satisfaction survey

Question Title

* 1. Age Group (Required.)

Question Title

* 2. How many times have you used the PCC within the last 12 months? (Required.)

Question Title

* 3. On the most recent occasion, why did you contact the PCC? (may tick more than one) (Required.)

Question Title

* 4. What method did you use to make your appointment? (Required.)

Question Title

* 5. If you used the telephone booking system how long did you wait until your call was answered?

Question Title

* 6. Were you able to book your appointment with your preferred clinician? (doctor, nurse practitioner/nurse)? (Required.)

Question Title

* 7. If you received a telephone consultation, were you satisfied with the response to your medical concern?

Question Title

* 8. How would you rate our telephone appointment service at the Primary Care Centre? (Required.)

Question Title

* 9. How would you rate the overall care you received by the Primary Care Centre nursing staff? (Required.)

Question Title

* 10. How would you rate the overall care you received by the Primary Care Centre General Practitioners? (Required.)

Question Title

* 11. How would you rate the overall care you received by the Primary Care Centre administration staff? (Required.)

Question Title

* 12. How would you rate the overall service provided by the Primary Care Centre (Required.)

Question Title

* 13. How would you rate your follow-up care with regards to test results, i.e blood test, scans, X-rays etc? (Required.)

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)? (Required.)

Question Title

* 15. How would you rate the repeat prescription service? (Required.)

Question Title

* 16. How would you rate the health card registration service? (Required.)

Question Title

* 17. How would you rate the doctor on call service? (Required.)

Question Title

* 18. How would you rate the evening clinic service? (Required.)

Question Title

* 19. What could we do differently that might have made your experience more positive?

1. Age Group (Required.)

2. How many times have you used the PCC within the last 12 months? (Required.)

3. On the most recent occasion, why did you contact the PCC? (may tick more than one) (Required.)

4. What method did you use to make your appointment? (Required.)

5. If you used the telephone booking system how long did you wait until your call was answered?

6. Were you able to book your appointment with your preferred clinician? (doctor, nurse practitioner/nurse)? (Required.)

7. If you received a telephone consultation, were you satisfied with the response to your medical concern?

8. How would you rate our telephone appointment service at the Primary Care Centre? (Required.)

9. How would you rate the overall care you received by the Primary Care Centre nursing staff? (Required.)

10. How would you rate the overall care you received by the Primary Care Centre General Practitioners? (Required.)

11. How would you rate the overall care you received by the Primary Care Centre administration staff? (Required.)

12. How would you rate the overall service provided by the Primary Care Centre (Required.)

13. How would you rate your follow-up care with regards to test results, i.e blood test, scans, X-rays etc? (Required.)

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)? (Required.)

15. How would you rate the repeat prescription service? (Required.)

16. How would you rate the health card registration service? (Required.)

17. How would you rate the doctor on call service? (Required.)

18. How would you rate the evening clinic service? (Required.)

19. What could we do differently that might have made your experience more positive?