About the Practice: How satisfied are you with the following…?
Q2. Practice’s opening hours
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q3. Ease of getting through on the phone
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q4. Day and time arranged for your most recent doctor appoinment
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q5. Chances of seeing an unspecified (unnamed) doctor within 48 hours
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q6. How would you describe your experience of making an appointment?
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q7. Comfort level of waiting room
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
About the Doctor/ANP: How good was your doctor/ANP at each of the following…?
Q8. Being polite
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q9. Making you feel at ease
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q10. Listening to you
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q11. Assessing your medical condition
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q12. Explaining your condition and treatment
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q13. Involving you in decisions about your treatment
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q14. Providing or arranging treatment for you
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q15. Confidence in this doctor/ANPs ability
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q16. Amount of time waiting to be seen/called (after your scheduled appointment time)
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q17. Overall satisfaction with the doctor/ANP you saw
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
General: How satisfied are you with the following…?
Q18. Manner in which you are treated by the reception staff
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q19. Respect shown by reception for your privacy and confidentiality
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q20. Information provided by the practice about its services (eg repeat prescriptions, test results, costs for private work)
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q21. The opportunity for making compliments or complaints to this practice about its service and quality of care
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q22. The information provided by this practice about how to prevent illness and stay healthy (eg alcohol use, smoking, diet habit etc) is…
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q23. The website www.umsuea.co.uk is clear, concise and easy to use
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q24. How do you find our online services to book/cancel/manage appointments and repeat medications online
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q25. Did you register online with us via www.umsuea.co.uk/registration/? If so – how do you rate the sign up method
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor) Not applicable
Q26. Overall satisfaction/experience with this GP practice
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5 (excellent) 4 (very good) 3 (good) 2 (fair) 1 (poor)
Please add any addition comments you wish to make…
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