EmailMeForm
Thank you for attending SurreyGP private doctor service. We hope that your visit was positive and met your expectations. We are aware that patients can attend any private medical practitioner of their choosing. Therefore, in order to maintain and improve the service on offer from our clinic, it would be most helpful if you could complete this short questionnaire as your views and opinions are important in considering potential changes and improvements to the healthcare service.
PRE-APPOINTMENT: Please answer the following questions where 1 = Poor and 5 = Excellent by circling/selecting the appropriate score to indicate how satisfied you were with the following:
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The ease of booking an appointment at SurreyGP
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5
The welcome/greeting you received on arrival at the clinic
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The punctuality of your appointment time
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5
APPOINTMENT
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The explanations given by the doctor about your treatment
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Your questions being answered
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5
Your feeling about the length of time spent with the doctor
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5
Your feeling about having treatment choices or options
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5
Your impression of the SurreyGP clinic environment
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5
Your impression of the overall quality of your appointment
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5
AFTERCARE:
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The clarity of any health advice or instructions to follow
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5
Your satisfaction with the billing/ payment procedure
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5
Would you recommend the SurreyGP healthcare service to others?
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5
If you would like to offer any further comments about the SurreyGP healthcare service, please enter them in the adjacent space.
How likely are you to recommend SurreyGP?
Would not
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Would
My appointment was with
*
Choose:
Dr Skilbeck
unsure/prefer not to say
Thank you for completing this short questionnaire. Your responses will be used to improve the patient service.
Name
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First
Last