Patient Survey

Question Title

* 1. Overall, how satisfied are you with the GP services you receive now? Please tick one answer:

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Comments:

Question Title

* 2. Please tell us about your current experience of appointments at the practice.

	Very satisfied	Satisfied	Neutral	Dissatisfied	Very dissatisfied	Not used
Face to face appointments	Face to face appointments Very satisfied	Face to face appointments Satisfied	Face to face appointments Neutral	Face to face appointments Dissatisfied	Face to face appointments Very dissatisfied	Face to face appointments Not used
Telephone appointments	Telephone appointments Very satisfied	Telephone appointments Satisfied	Telephone appointments Neutral	Telephone appointments Dissatisfied	Telephone appointments Very dissatisfied	Telephone appointments Not used
Video call appointments	Video call appointments Very satisfied	Video call appointments Satisfied	Video call appointments Neutral	Video call appointments Dissatisfied	Video call appointments Very dissatisfied	Video call appointments Not used

Question Title

* 3. Will the new location be harder or easier for you to get to?

Considerably harder

A little harder

No different

A little easier

Considerably easier

Considerably harder

A little harder

No different

A little easier

Considerably easier

Comments:

Question Title

* 4. How would you get to the new location?

Private car

Public transport

I would need support with transport

I have home visits

Other (please specify)

Question Title

* 5. The relocation will allow the practice to expand and offer more appointments. Which of the following would you say were positives about the move? Please tick all that apply.

Bigger reception and waiting area

More clinicians on site at the same time

Less waiting time for an appointment

Other health services available from Chatham Healthy Living Centre

Other (please specify)

Question Title

* 6. If you think there will be any problems with the move for you and your family, please tell us what they are.

Question Title

* 7. Please tell us which of the following is important for you in a GP practice (*for instance a nurse, a physiotherapist or a dietician)

	Extremely important	Very important	Somewhat important	Not so important	Not at all important
I can get through on the phone to talk to someone	I can get through on the phone to talk to someone Extremely important	I can get through on the phone to talk to someone Very important	I can get through on the phone to talk to someone Somewhat important	I can get through on the phone to talk to someone Not so important	I can get through on the phone to talk to someone Not at all important
A clinician will call me back and talk to me about my health or questions	A clinician will call me back and talk to me about my health or questions Extremely important	A clinician will call me back and talk to me about my health or questions Very important	A clinician will call me back and talk to me about my health or questions Somewhat important	A clinician will call me back and talk to me about my health or questions Not so important	A clinician will call me back and talk to me about my health or questions Not at all important
I have a choice of locations where I can go to see a clinician	I have a choice of locations where I can go to see a clinician Extremely important	I have a choice of locations where I can go to see a clinician Very important	I have a choice of locations where I can go to see a clinician Somewhat important	I have a choice of locations where I can go to see a clinician Not so important	I have a choice of locations where I can go to see a clinician Not at all important
I can book an appointment on-line	I can book an appointment on-line Extremely important	I can book an appointment on-line Very important	I can book an appointment on-line Somewhat important	I can book an appointment on-line Not so important	I can book an appointment on-line Not at all important
I can get an appointment on the same day	I can get an appointment on the same day Extremely important	I can get an appointment on the same day Very important	I can get an appointment on the same day Somewhat important	I can get an appointment on the same day Not so important	I can get an appointment on the same day Not at all important
I can get an appointment on the day that is convenient to me	I can get an appointment on the day that is convenient to me Extremely important	I can get an appointment on the day that is convenient to me Very important	I can get an appointment on the day that is convenient to me Somewhat important	I can get an appointment on the day that is convenient to me Not so important	I can get an appointment on the day that is convenient to me Not at all important
I can get an appointment with the clinician who I prefer to see	I can get an appointment with the clinician who I prefer to see Extremely important	I can get an appointment with the clinician who I prefer to see Very important	I can get an appointment with the clinician who I prefer to see Somewhat important	I can get an appointment with the clinician who I prefer to see Not so important	I can get an appointment with the clinician who I prefer to see Not at all important
I can get an appointment with a man or woman clinician if I prefer to	I can get an appointment with a man or woman clinician if I prefer to Extremely important	I can get an appointment with a man or woman clinician if I prefer to Very important	I can get an appointment with a man or woman clinician if I prefer to Somewhat important	I can get an appointment with a man or woman clinician if I prefer to Not so important	I can get an appointment with a man or woman clinician if I prefer to Not at all important
The doctor or healthcare professional will take time to explain things to me and answer my questions*	The doctor or healthcare professional will take time to explain things to me and answer my questions* Extremely important	The doctor or healthcare professional will take time to explain things to me and answer my questions* Very important	The doctor or healthcare professional will take time to explain things to me and answer my questions* Somewhat important	The doctor or healthcare professional will take time to explain things to me and answer my questions* Not so important	The doctor or healthcare professional will take time to explain things to me and answer my questions* Not at all important
The doctor or healthcare professional includes my carer or family member in explanations and decisions*	The doctor or healthcare professional includes my carer or family member in explanations and decisions* Extremely important	The doctor or healthcare professional includes my carer or family member in explanations and decisions* Very important	The doctor or healthcare professional includes my carer or family member in explanations and decisions* Somewhat important	The doctor or healthcare professional includes my carer or family member in explanations and decisions* Not so important	The doctor or healthcare professional includes my carer or family member in explanations and decisions* Not at all important
There are plenty of different services at my GP practice	There are plenty of different services at my GP practice Extremely important	There are plenty of different services at my GP practice Very important	There are plenty of different services at my GP practice Somewhat important	There are plenty of different services at my GP practice Not so important	There are plenty of different services at my GP practice Not at all important
I can see different health care professionals if I need to at my GP practice	I can see different health care professionals if I need to at my GP practice Extremely important	I can see different health care professionals if I need to at my GP practice Very important	I can see different health care professionals if I need to at my GP practice Somewhat important	I can see different health care professionals if I need to at my GP practice Not so important	I can see different health care professionals if I need to at my GP practice Not at all important
When I have an appointment it is usually on time and I don’t wait long	When I have an appointment it is usually on time and I don’t wait long Extremely important	When I have an appointment it is usually on time and I don’t wait long Very important	When I have an appointment it is usually on time and I don’t wait long Somewhat important	When I have an appointment it is usually on time and I don’t wait long Not so important	When I have an appointment it is usually on time and I don’t wait long Not at all important
It is easy to renew my prescriptions	It is easy to renew my prescriptions Extremely important	It is easy to renew my prescriptions Very important	It is easy to renew my prescriptions Somewhat important	It is easy to renew my prescriptions Not so important	It is easy to renew my prescriptions Not at all important

Patient Survey

Question Title

* 1. Overall, how satisfied are you with the GP services you receive now? Please tick one answer:

Question Title

* 2. Please tell us about your current experience of appointments at the practice.

Question Title

* 3. Will the new location be harder or easier for you to get to?

Question Title

* 4. How would you get to the new location?

Question Title

* 5. The relocation will allow the practice to expand and offer more appointments. Which of the following would you say were positives about the move? Please tick all that apply.

Question Title

* 6. If you think there will be any problems with the move for you and your family, please tell us what they are.

Question Title

* 7. Please tell us which of the following is important for you in a GP practice (*for instance a nurse, a physiotherapist or a dietician)

Question Title

* 8. Please tell us anything else about your GP service which you think is important?