Downsfield Medical Centre

Patient Experience

Dear Patient,

Many thanks for agreeing to take this short survey to help our practice understand how our appointment system can be improved, if at all.

Please answer all of the questions and click 'Send Survey' when you are done.

Q1. How easy do you find getting into the building at the surgery ?

Very easy

Fairly easy

Not very easy

Not at all easy

Q2. How clean is the GP surgery ?

Very clean

Fairly clean

Not very clean

Not at all clean

Don’t know

Q3. In the Reception Area, can other patients overhear what you say to the receptionist?

Yes, but don’t mind

Yes and am not happy about it

No, other patients can’t overhear

Don’t know

Q4. How helpful do you find the receptionists at the surgery ?

Very

Fairly

Not very

Not at all

Q5. How long after your appointment time do you normally wait to be seen?

I don’t normally have appts at a specific time

I am normally seen on time

Less than 5 minutes 5 to 15 minutes

15-30 minutes

More than 30 minutes

Can’t remember

Q6. How do you feel about how long you normally have to wait ?

I don’t normally have to wait long

I have to wait a bit too long

I have to wait far too long

No opinion/doesn’t apply

To help us analyse your answers please tell us a few things about yourself:

Are you male or female?

Male

Female

What age are you?

Under 16

17 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65 - 74

75 - 84

Over 84

What is the ethnic background with which you most identify?

White British

White Irish

Mixed White & Black Caribbean

Mixed White & Black African

Mixed White & Black Asian

Indian

Pakistani

Bangladeshi

Black Caribbean

Black African

Chinese

Other

How would you describe how often you come to the practice?

Regularly

Occasionally

Very Rarely

Many thanks for your time in answering the questions on this survey.