Prof Peters Patient Satisfaction Survey 2013

	Excellent	Good	Average	Below average	Not Acceptable	Not Applicable
1. Was it easy to get a first appointment?	1. Was it easy to get a first appointment? Excellent	1. Was it easy to get a first appointment? Good	1. Was it easy to get a first appointment? Average	1. Was it easy to get a first appointment? Below average	1. Was it easy to get a first appointment? Not Acceptable	1. Was it easy to get a first appointment? Not Applicable
2. Were any calls you requested returned promptly?	2. Were any calls you requested returned promptly? Excellent	2. Were any calls you requested returned promptly? Good	2. Were any calls you requested returned promptly? Average	2. Were any calls you requested returned promptly? Below average	2. Were any calls you requested returned promptly? Not Acceptable	2. Were any calls you requested returned promptly? Not Applicable
3. Was it easy to book follow-up?	3. Was it easy to book follow-up? Excellent	3. Was it easy to book follow-up? Good	3. Was it easy to book follow-up? Average	3. Was it easy to book follow-up? Below average	3. Was it easy to book follow-up? Not Acceptable	3. Was it easy to book follow-up? Not Applicable
4. Reception staff were friendly and helpful	4. Reception staff were friendly and helpful Excellent	4. Reception staff were friendly and helpful Good	4. Reception staff were friendly and helpful Average	4. Reception staff were friendly and helpful Below average	4. Reception staff were friendly and helpful Not Acceptable	4. Reception staff were friendly and helpful Not Applicable
5. Reception staff answered your questions	5. Reception staff answered your questions Excellent	5. Reception staff answered your questions Good	5. Reception staff answered your questions Average	5. Reception staff answered your questions Below average	5. Reception staff answered your questions Not Acceptable	5. Reception staff answered your questions Not Applicable
6. Comfort and safety while waiting	6. Comfort and safety while waiting Excellent	6. Comfort and safety while waiting Good	6. Comfort and safety while waiting Average	6. Comfort and safety while waiting Below average	6. Comfort and safety while waiting Not Acceptable	6. Comfort and safety while waiting Not Applicable
7. Time spent in the waiting room	7. Time spent in the waiting room Excellent	7. Time spent in the waiting room Good	7. Time spent in the waiting room Average	7. Time spent in the waiting room Below average	7. Time spent in the waiting room Not Acceptable	7. Time spent in the waiting room Not Applicable
8. Time spent waiting for tests to be performed	8. Time spent waiting for tests to be performed Excellent	8. Time spent waiting for tests to be performed Good	8. Time spent waiting for tests to be performed Average	8. Time spent waiting for tests to be performed Below average	8. Time spent waiting for tests to be performed Not Acceptable	8. Time spent waiting for tests to be performed Not Applicable
9. Time spent waiting for test results	9. Time spent waiting for test results Excellent	9. Time spent waiting for test results Good	9. Time spent waiting for test results Average	9. Time spent waiting for test results Below average	9. Time spent waiting for test results Not Acceptable	9. Time spent waiting for test results Not Applicable
10. Prof Peters listened to you	10. Prof Peters listened to you Excellent	10. Prof Peters listened to you Good	10. Prof Peters listened to you Average	10. Prof Peters listened to you Below average	10. Prof Peters listened to you Not Acceptable	10. Prof Peters listened to you Not Applicable
11. Prof Peters explained what you wanted to know	11. Prof Peters explained what you wanted to know Excellent	11. Prof Peters explained what you wanted to know Good	11. Prof Peters explained what you wanted to know Average	11. Prof Peters explained what you wanted to know Below average	11. Prof Peters explained what you wanted to know Not Acceptable	11. Prof Peters explained what you wanted to know Not Applicable
12. Prof Peters gave you effective treatment	12. Prof Peters gave you effective treatment Excellent	12. Prof Peters gave you effective treatment Good	12. Prof Peters gave you effective treatment Average	12. Prof Peters gave you effective treatment Below average	12. Prof Peters gave you effective treatment Not Acceptable	12. Prof Peters gave you effective treatment Not Applicable
13. Prof Peters gave you useful advice	13. Prof Peters gave you useful advice Excellent	13. Prof Peters gave you useful advice Good	13. Prof Peters gave you useful advice Average	13. Prof Peters gave you useful advice Below average	13. Prof Peters gave you useful advice Not Acceptable	13. Prof Peters gave you useful advice Not Applicable
14.The premises are neat and clean	14.The premises are neat and clean Excellent	14.The premises are neat and clean Good	14.The premises are neat and clean Average	14.The premises are neat and clean Below average	14.The premises are neat and clean Not Acceptable	14.The premises are neat and clean Not Applicable
15. Ease of finding practitioner’s room	15. Ease of finding practitioner’s room Excellent	15. Ease of finding practitioner’s room Good	15. Ease of finding practitioner’s room Average	15. Ease of finding practitioner’s room Below average	15. Ease of finding practitioner’s room Not Acceptable	15. Ease of finding practitioner’s room Not Applicable
16. The likelihood of referring your friends and relatives to us	16. The likelihood of referring your friends and relatives to us Excellent	16. The likelihood of referring your friends and relatives to us Good	16. The likelihood of referring your friends and relatives to us Average	16. The likelihood of referring your friends and relatives to us Below average	16. The likelihood of referring your friends and relatives to us Not Acceptable	16. The likelihood of referring your friends and relatives to us Not Applicable

Excellent

Good

Average

Below average

Not Acceptable

Not Applicable

1. Was it easy to get a first appointment?

1. Was it easy to get a first appointment? Excellent

1. Was it easy to get a first appointment? Good

1. Was it easy to get a first appointment? Average

1. Was it easy to get a first appointment? Below average

1. Was it easy to get a first appointment? Not Acceptable

1. Was it easy to get a first appointment? Not Applicable

2. Were any calls you requested returned promptly?

2. Were any calls you requested returned promptly? Excellent

2. Were any calls you requested returned promptly? Good

2. Were any calls you requested returned promptly? Average

2. Were any calls you requested returned promptly? Below average

2. Were any calls you requested returned promptly? Not Acceptable

2. Were any calls you requested returned promptly? Not Applicable

3. Was it easy to book follow-up?

3. Was it easy to book follow-up? Excellent

3. Was it easy to book follow-up? Good

3. Was it easy to book follow-up? Average

3. Was it easy to book follow-up? Below average

3. Was it easy to book follow-up? Not Acceptable

3. Was it easy to book follow-up? Not Applicable

4. Reception staff were friendly and helpful

4. Reception staff were friendly and helpful Excellent

4. Reception staff were friendly and helpful Good

4. Reception staff were friendly and helpful Average

4. Reception staff were friendly and helpful Below average

4. Reception staff were friendly and helpful Not Acceptable

4. Reception staff were friendly and helpful Not Applicable

5. Reception staff answered your questions

5. Reception staff answered your questions Excellent

5. Reception staff answered your questions Good

5. Reception staff answered your questions Average

5. Reception staff answered your questions Below average

5. Reception staff answered your questions Not Acceptable

5. Reception staff answered your questions Not Applicable

6. Comfort and safety while waiting

6. Comfort and safety while waiting Excellent

6. Comfort and safety while waiting Good

6. Comfort and safety while waiting Average

6. Comfort and safety while waiting Below average

6. Comfort and safety while waiting Not Acceptable

6. Comfort and safety while waiting Not Applicable

7. Time spent in the waiting room

7. Time spent in the waiting room Excellent

7. Time spent in the waiting room Good

7. Time spent in the waiting room Average

7. Time spent in the waiting room Below average

7. Time spent in the waiting room Not Acceptable

7. Time spent in the waiting room Not Applicable

8. Time spent waiting for tests to be performed

8. Time spent waiting for tests to be performed Excellent

8. Time spent waiting for tests to be performed Good

8. Time spent waiting for tests to be performed Average

8. Time spent waiting for tests to be performed Below average

8. Time spent waiting for tests to be performed Not Acceptable

8. Time spent waiting for tests to be performed Not Applicable

9. Time spent waiting for test results

9. Time spent waiting for test results Excellent

9. Time spent waiting for test results Good

9. Time spent waiting for test results Average

9. Time spent waiting for test results Below average

9. Time spent waiting for test results Not Acceptable

9. Time spent waiting for test results Not Applicable

10. Prof Peters listened to you

10. Prof Peters listened to you Excellent

10. Prof Peters listened to you Good

10. Prof Peters listened to you Average

10. Prof Peters listened to you Below average

10. Prof Peters listened to you Not Acceptable

10. Prof Peters listened to you Not Applicable

11. Prof Peters explained what you wanted to know

11. Prof Peters explained what you wanted to know Excellent

11. Prof Peters explained what you wanted to know Good

11. Prof Peters explained what you wanted to know Average

11. Prof Peters explained what you wanted to know Below average

11. Prof Peters explained what you wanted to know Not Acceptable

11. Prof Peters explained what you wanted to know Not Applicable

12. Prof Peters gave you effective treatment

12. Prof Peters gave you effective treatment Excellent

12. Prof Peters gave you effective treatment Good

12. Prof Peters gave you effective treatment Average

12. Prof Peters gave you effective treatment Below average

12. Prof Peters gave you effective treatment Not Acceptable

12. Prof Peters gave you effective treatment Not Applicable

13. Prof Peters gave you useful advice

13. Prof Peters gave you useful advice Excellent

13. Prof Peters gave you useful advice Good

13. Prof Peters gave you useful advice Average

13. Prof Peters gave you useful advice Below average

13. Prof Peters gave you useful advice Not Acceptable

13. Prof Peters gave you useful advice Not Applicable

14.The premises are neat and clean

14.The premises are neat and clean Excellent

14.The premises are neat and clean Good

14.The premises are neat and clean Average

14.The premises are neat and clean Below average

14.The premises are neat and clean Not Acceptable

14.The premises are neat and clean Not Applicable

15. Ease of finding practitioner’s room

15. Ease of finding practitioner’s room Excellent

15. Ease of finding practitioner’s room Good

15. Ease of finding practitioner’s room Average

15. Ease of finding practitioner’s room Below average

15. Ease of finding practitioner’s room Not Acceptable

15. Ease of finding practitioner’s room Not Applicable

16. The likelihood of referring your friends and relatives to us

16. The likelihood of referring your friends and relatives to us Excellent

16. The likelihood of referring your friends and relatives to us Good

16. The likelihood of referring your friends and relatives to us Average

16. The likelihood of referring your friends and relatives to us Below average

16. The likelihood of referring your friends and relatives to us Not Acceptable

16. The likelihood of referring your friends and relatives to us Not Applicable

Question Title

* 4. Did you experience any inappropriate behaviour from anyone?

Yes

Comment (please specify)

Question Title

* 5. Do you need to know who to complain to if you are not happy with any aspect of your treatment?

Yes

If you feel we are not providing excellent care Prof Peters would prefer to know. Please email him at davidp@newmedicine.com to talk about this. However, if you ever want to make a compliant we will immediately send you our complaints policy and procedure.

Question Title

* 6. You can let us have your name if you wish to

No thanks

My name is

Prof Peters Patient Satisfaction Survey 2013

Question Title

* 1. This patient satisfaction questionnaire is part of our quality control.
Thank you for taking a few minutes to fill it in and for giving us your valuable feedback on our clinic.

Question Title

* 2. What do you like best about our clinic?

Question Title

* 3. What do you like least about our clinic?

Question Title

* 4. Did you experience any inappropriate behaviour from anyone?

Question Title

* 5. Do you need to know who to complain to if you are not happy with any aspect of your treatment?

Question Title

* 6. You can let us have your name if you wish to

Question Title

* 1. This patient satisfaction questionnaire is part of our quality control.Thank you for taking a few minutes to fill it in and for giving us your valuable feedback on our clinic.

Question Title

* 2. What do you like best about our clinic?

Question Title

* 3. What do you like least about our clinic?

Question Title

* 4. Did you experience any inappropriate behaviour from anyone?

Question Title

* 5. Do you need to know who to complain to if you are not happy with any aspect of your treatment?

Question Title

* 6. You can let us have your name if you wish to

* 1. This patient satisfaction questionnaire is part of our quality control.
Thank you for taking a few minutes to fill it in and for giving us your valuable feedback on our clinic.