JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Enhanced Access in Leek & Biddulph
Your local practices (Leek & Biddulph Primary Care Network) have been asked to seek patients views on what potential extra appointments you might find useful and when:
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Which GP Surgery are you registered with?
Leek Health Centre
Park Medical Centre
Moorland Medical Centre
Biddulph Valley
Biddulphdoctors
Clear selection
What is your age?
Under 18
18 - 29
30 - 39
40 - 49
50 - 59
Over 60
Clear selection
What is your gender? (Leave blank if prefer not to say)
Your answer
What is your ethnicity? (Leave blank if prefer not to say)
Your answer
What is your preferred method of travel to appointments? (Please tick all that apply)
Car
Bus
Taxi
Cycle
On foot
Other:
Which type of appointment would you find the most useful? (Please tick all that apply)
Face to face
Telephone
Video
Same day
Bookable in advance
Any of the above
Other:
Where would you be willing to attend Enhanced Access appointments? (Please tick all that apply)
Own GP Surgery
Any Leek Surgery
Any Biddulph Surgery
Any Leek or Biddulph Surgery
Other:
Which appointment time would you find most useful? (Please tick all that apply)
Before 8am weekdays
8am – 1pm weekdays
1pm – 6:30pm weekdays
6:30pm – 8pm weekdays
Saturday AM
Saturday PM
Which type of appointment would you find the most useful? (Please tick all that apply)
Blood tests/dressing change
Screenings e.g. smears
Long term conditions e.g. asthma and diabetes checks
Vaccinations e.g. flu/child imms/B12
Same-day GP/Nurse Practitioner appointments
Pre-bookable GP/Nurse Practitioner appointments
Physio/OT/Dietitian/Pharmacy reviews
Other:
What barriers do you experience when booking in at your GP Practice? (Please tick all that apply)
Appointment availability 8am - 6:30pm
Evening/weekend appointment availability
Getting through to the practice via phone
Practice not providing online appointments
Waiting times for appointments
Other:
If appointment capacity was increased would you prefer to access additional appointments:
*
During core hours (Mon-Fri 8am – 6:30pm)
Outside of core hours (evenings & weekends)
Do you have any other comments/ suggestions for Enhanced Access in Leek & Biddulph?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
