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Thoughts on the proposed merger of The Alexandra Practice and Princess Road Surgery
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1.
I am completing this survey... (Please select one button below)
(Required.)
For myself (the patient)
On behalf of the patient (family friend)
On behalf of the patient (member of staff)
Other (please specify)
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2.
At which practice are you currently registered?
(Required.)
The Alexandra Practice
Princess Road Surgery
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3.
Do you understand the reasons why The Alexandra Practice & Princess Road Surgery are proposing to merge together? (Please tick only one box).
(Required.)
Yes
No
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4.
What are your views on the proposal to merge the practices? Please tell us about them in the space below:
(Required.)
5.
If the practices were to merge, would this create any challenges for you in accessing your health care?
Yes
No
And if ‘Yes’, how might be we able to help solve them?
6.
Merging of the practices would create more doctor appointments at both sites. Would this be important to you?
Yes
No
7.
Merging would increase the availability of nursing appointments. Would this be important to you?
Yes
No
8.
Please can you tell us how many times you have used your GP practice for the following reasons in the past 6 months: (Please select one button on each row)
More than six times
Five or six times
Three or four times
Once or twice
Not visited in last 6 months
Nurses
More than six times
Five or six times
Three or four times
Once or twice
Not visited in last 6 months
Doctors
More than six times
Five or six times
Three or four times
Once or twice
Not visited in last 6 months
To collect a prescription
More than six times
Five or six times
Three or four times
Once or twice
Not visited in last 6 months
To have bloods taken
More than six times
Five or six times
Three or four times
Once or twice
Not visited in last 6 months
For a different reason
More than six times
Five or six times
Three or four times
Once or twice
Not visited in last 6 months
9.
Thinking about the service you receive from your GP practice, how would you rate it? (Please select one button only)
Very Good
Good
Neither good nor poor
Poor
Very poor
Don't know / no opinion
10.
Please can you rank the following from most important to least important
Most important
Fairly important
Average
Less important
Least important
Quality of care
Most important
Fairly important
Average
Less important
Least important
Location
Most important
Fairly important
Average
Less important
Least important
Opening times
Most important
Fairly important
Average
Less important
Least important
Access to a doctor
Most important
Fairly important
Average
Less important
Least important
Access to a nurse
Most important
Fairly important
Average
Less important
Least important
Seeing the same doctor or nurse
Most important
Fairly important
Average
Less important
Least important
11.
How do you identify? (Please select only one button)
Man
Non-binary
Woman
Prefer to self-describe, below
Self-describe
12.
How old are you? (Please select only one button)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
13.
What is your postcode?
14.
Do you consider yourself to be disabled? (Please select only one button)
Yes
No
Rather not say
Yes (please specify below)
15.
What is your sexual orientation? (Please select only one button)
Asexual
Bisexual
Gay
Hetrosexual or straight
Lesbian
Pansexual
Queer
Rather not say
None of the above, please specify
16.
Which race or ethnicity best describes you? (Please select one button only)
Arab
Asian/British Asian: Bangladeshi
Asian/British Asian: Chinese
Asian/British Asian: Indian
Asian/British Asian: Pakistani
Black/British Black: African
Black/British Black: Caribbean
White: British
White: Irish
White: European
Mixed Race: Black & White
Mixed race: Asian & White
Gypsy or traveller
Rather not say
Other (please specify)
17.
What do you consider your religion to be? (Please select only one button)
Buddhism
Christianity
Hinduism
Islam
Judaism
Sikhism
No religion
Rather not say
Another religion (please specify below)
Current Progress,
0 of 17 answered