Appointments: 01582 609121 
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Online Services: SystmOnline Login
Fax: 01582 472002

Patient Questionnaire

Please take a moment to fill in our short survey to let us know about your last visit to the surgery.

Generated with MOOJ Proforms Version 1.3
Were you happy with how long you had to wait before you were called in?
When you were seen, do you feel the doctor took the time to listen to your problem
Did you feel you were treated with respect and dignity while you were in the surgery?
Do you feel the doctor gave you enough information about your condition or treatment?
Were you satisfied with the consultation?
Would you have been happy to talk to a doctor on the phone about your problem (Telephone consultation) as an alternative to visiting the surgery?
Do you think receiving reminders/information electronically is a good idea?
How likely is it that you would recommend this Practice to a friend or family member?           1 = Very unlikely       10 = Very likely
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Please add any other comments about your visit that you would like us to know
Overall, how satisfied were you with your last visit?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied