Rochford Medical Practice

Patient Reference Group

Would you like to have a say about the services provided at Rochford Medical Practice? We would like to hear your views, if you would like to participate in our Patient Reference Group, please contact the surgery and speak to Adine Hunt.

PPG Minutes

November 2011

Patient Reference Group Survey

We would appreciate it if you would complete our Patient Reference Group Survey

Age Group:

16-25

26-40

41-60

61+

Gender:

Male

Female

How often do you use the surgery?

Daily

Weekly

Monthly

Are you happy with the service you receive from the Doctors?

Very Happy

Satisfied

Dissatisfied

Are you happy with the service you receive from the Nurse?

Very Happy

Satisfied

Dissatisfied

Are you happy with the service you receive from the Reception Staff?

Very Happy

Satisfied

Dissatisfied

Do you feel a warm welcome when visiting us and in general are your medical needs met?

Yes

No

Do you use our extended opening times?

Yes

No

Are you fully aware of our appointment booking system?

Yes

No

Are you aware of the services available at the practice?

Yes

No

Would you like to see additional services provided in the future?

Yes (please advise below)

No

Would you like to join our Patients Reference Group?

Yes

No

Would you like more information

Your views are extremely important to us; please detail any additional comments in the box below


Please note that no medical information or questions will be responded to.

 


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