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Shreeji Medical Centre
Patient Satisfaction Survey
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* Indicates required question
Name
Your answer
Gender
*
Male
Female
Other:
Age
*
Your answer
Thinking about your recent
contact with your GP Practice,
how easy was it for you to seek
medical care or advice?
*
Very easy
Fairly easy
Neither good nor poor
Very poor
Don’t know/can’t say
How easy or difficult
to get
through someone
at your GP
practice on the PHONE?
*
Very easy
Fairly easy
Neither good nor poor
Very poor
Don’t know/can’t say
How do you feel about the
length of time
you waited for
care or advice after first
contacting the practice?
*
Received care or advice as soon as I thought was necessary
I have received care or advice a bit sooner
I have received care or advice a lot sooner
Don’t know
Can’t Say
Which of these was the main way you received care or advice on this occasion?
*
In-person
A telephone calls
A video consultation
Written Interaction
Other
How
easy is it to use your GP
practice’s website to look for
information or access services?
*
Very well
Fairly well
Not very well
Not at all well
Don’t know/can’t say
Overall thinking about the
reason
you wanted care or
advice, were your needs met?
*
Yes definitely!
Yes, to some extent
No, not at all
Don’t know
Can’t Say
Overall, how would you
describe your experience of
your GP practice on this
occasion?
*
Very good
Fairly good
Neither good nor poor
Very poor
Don’t know/can’t say
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