The Gainsborough Practice Quick Online Survey

This service is provided for patients' convenience, the data provided by you is not secure nor encrypted. 
Please only use this service if you have read and understood these conditions.

Our Mission:
"To meet the healthcare needs of our Practice population through delivering and facilitating the highest level of professional medical care, at the most appropriate location, within the resources available, thereby maximising the patient experience."

The Survey:
This questionnaire takes less than 1 minute and gives us an immediate indicator of how the Practice is performing.  It also provides additional evidence to support the Government national satisfaction survey which directly impacts upon our funding and our ability to provide the range of services required by you.  Please answer all questions as fully as possible - all questions are applicable to this surgery only.

Confidentiality:
All surveys are treated in strict confidence and are for internal use only. It helps us if you can provide your name and other details - but this is optional.

Your details

Your name:
(optional)

Your email:
(optional)

DOB:
(please supply at least year of birth)

House Name / Number
(optional)

How many times have you seen a medical professional in the last 12 months?

How well have you been served in general?

Which of the following services have you used?
(Tick as many as necessary)

Health Care Assistant

Telephone Triage (GP or Nurse)

Nurse Appointment

GP Appointment

Home visit

Other

Not applicable

Overall how do you rate the range and quality of the services you have used?

Excellent

Very Good

Good

Fair

Poor

Very Poor

No comment

How well have you been served if you've needed to see someone quickly?

In the past six months have you tried to see a doctor fairly quickly? By fairly quickly we mean within 2 weekdays of the surgery being open. 

Yes

No

Not Applicable

If you did need to see a doctor fairly quickly, rate how well you were able to book, speak or see with a healthcare professional within this time?

Excellent

Very Good

Good

Fair

Poor

Very Poor

No comment

If you did need to see a doctor fairly quickly,  please indicate which services were used to meet your needs? (Tick as many as necessary)

Health Care Assistant

Telephone Triage (GP or Nurse)

Nurse Appointment

GP Appointment

Home visit

Other

Not applicable

How well have you been served when making an advance appointment?

Last time you tried were you able to get an appointment with a doctor in advance - more than 48 hours ahead?

Yes

No

Not Applicable

If you did need to get an appointment in advance, please rate how you were able to book, speak or see with a healthcare professional within this time?

Excellent

Very Good

Good

Fair

Poor

Very Poor

No comment

If you did need to get an appointment in advance, please indicate which services were used to meet your needs? (Tick as many as necessary)

Health Care Assistant

Telephone Triage (GP or Nurse)

Nurse Appointment

GP Appointment

Home visit

Other

Not applicable

How well have you been served when using the "extended hours" service?

Have you used our 'extended hours' service in the evenings?

Yes

No

Please rate your overall experience of the extended hours service?

Excellent

Very Good

Good

Fair

Poor

Very Poor

Not Applicable

Please provide any other comments you would like to make which would enable us to gauge or improve our performance and services for you?

 

All surveys are treated in strict confidence and are for internal use only.