None once or twice 3 to 6 times 7 or more times ۝ ۝ ۝ ۝ 2. In the past 12 months how many times have you seen a nurse at the Surgery None once or twice 3 to 6 times 7 or more times ۝ ۝ ۝ ۝ 3. How do you rate the way you were treated by the receptionists very poor poor very good ۝ ۝ ۝good ۝ 4. How do you rate the opening hours of the Surgery very poor poor good very good ۝ ۝ ۝ ۝ 5. The are between 9am 11am and then Tuesday 3pm 7.30pm and Surgery’s appointments – – on a Wednesday evening 3pm 7pm. – What additional appointments would you like the Surgery to provide? none, I’m satisfied lunchtimes Saturday mornings early mornings ۝ ۝ ۝ ۝ evenings ۝ 6. How easy do you find the following: Difficult reasonable good Getting through on the phone: ۝ ۝ ۝ Speaking to a doctor on the phone: ۝ ۝ ۝ Getting test results on the phone: ۝ ۝ ۝ Getting repeat prescriptions: ۝ ۝ ۝ Getting a home visit: ۝ ۝ ۝ Emailing the Surgery: ۝ ۝ ۝ 7. Do you have a regular doctor you see yes no, but I’d like one no, I don’t mind ۝ ۝ ۝ 8. If you have a regular doctor, how often are you able to see him most of the time sometimes hardly ever ۝ ۝ ۝ 9. In the last 6 months, how quickly were you able to get an appointment? the same day the next day within 1 week within 2 weeks ۝ ۝ ۝ ۝ over 2 weeks ۝ 10. If you need to see a doctor urgently can you normally get an appointment within 24 hours? yes no I don’t know ۝ ۝ ۝ 11. How quickly do you normally get to see the nurse? the same day the next day within 1 week within 2 weeks ۝ ۝ ۝ ۝ over 2 weeks ۝ 12. When you arrive at the Surgery for your appointment, how long do you normally have to wait to be seen? 5 minutes or less 15 minutes or less 30 minutes or less more than 30 minutes ۝ ۝ ۝ ۝
۝ None ۝ once or twice ۝ 3 to 6 times ۝ 7 or more times 2. In the past 12 months how many times have you seen a nurse at the Surgery ۝ None ۝ once or twice ۝ 3 to 6 times ۝ 7 or more times 3. How do you rate the way you were treated by the receptionists ۝ very poor ۝ poor ۝good ۝ very good 4. How do you rate the opening hours of the Surgery ۝ very poor ۝ poor ۝ good ۝ very good 5. The Surgery’s appointments are between 9am – 11am and then Tuesday 3pm – 7.30pm and on a Wednesday evening 3pm – 7pm. What additional appointments would you like the Surgery to provide? ۝ none, I’m satisfied ۝ lunchtimes ۝ Saturday mornings ۝ early mornings ۝ evenings 6. How easy do you find the following: Difficult reasonable good Getting through on the phone: ۝ ۝ ۝ Speaking to a doctor on the phone: ۝ ۝ ۝ Getting test results on the phone: ۝ ۝ ۝ Getting repeat prescriptions: ۝ ۝ ۝ Getting a home visit: ۝ ۝ ۝ Emailing the Surgery: ۝ ۝ ۝ 7. Do you have a regular doctor you see ۝ yes ۝ no, but I’d like one ۝ no, I don’t mind 8. If you have a regular doctor, how often are you able to see him ۝ most of the time ۝ sometimes ۝ hardly ever 9. In the last 6 months, how quickly were you able to get an appointment? ۝ the same day ۝ the next day ۝ within 1 week ۝ within 2 weeks ۝ over 2 weeks 10. If you need to see a doctor urgently can you normally get an appointment within 24 hours? ۝ yes ۝ no ۝ I don’t know 11. How quickly do you normally get to see the nurse? ۝ the same day ۝ the next day ۝ within 1 week ۝ within 2 weeks ۝ over 2 weeks 12. When you arrive at the Surgery for your appointment, how long do you normally have to wait to be seen? ۝ 5 minutes or less ۝ 15 minutes or less ۝ 30 minutes or less ۝ more than 30 minutes
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