COLWALL SURGERY
PATIENT SURVEY
Dear Patient
We would be grateful if you would complete this survey about this practice (it doesn’t take very long!). We want to provide the best care possible and feedback from this survey will enable us to identify areas that may need improvement. Your opinions are therefore very valuable. Please answer all the questions where they apply to you. We will not be able to identify you as the questionnaires are anonymised. Please CIRCLE your preferred response.

PTO

Firstly, please tell us the name of your usual Doctor	
Dr S Newey	Dr A Sahada	Any			
1. In the past 12 months, how many times have you seen a Doctor at the Surgery?	
None	Once or twice 	Three or four times	Five or Six Times	More than seven times	
2a.  Thinking of the times when you want to see a particular Doctor, how quickly do you get to seen?	
Same Day	Next working day	Within 2 working days	Within 3 working days	Within 4 working days	More than 5 working days	
2b. How do you rate this? 	
Poor	Fair	Good	Very Good	Excellent	
3a.  Thinking of the times when you want to see any Doctor, how quickly do you get to seen?	
Same Day	Next working day	Within 2 working days	Within 3 working days	Within 4 working days	More than 5 working days	
3b. How do you rate this? 	
Poor	Fair	Good	Very Good	Excellent	
4.  If you need to see a Doctor URGENTLY, can you normally get seen on the same day?	
All the time	Some of the time	Occasionally	Never	Never needed to	
5a. How long do you have to wait at the Surgery for your Consultations to begin?	
5 minutes or less	6 to 10 minutes	11 to 20 minutes	21 to 30 minutes	More than 30 minutes	
5b.  How do you rate this?	
Poor	Fair	Good	Very Good	Excellent	
6.  Thinking of time you have phoned the Surgery, how do you rate the following?	
a.  Ability to get through on the phone?	
Poor	Fair	Good	Very Good	Excellent	Never tried	
b.  Ability to speak to a Doctor for advice?	
Poor	Fair	Good	Very Good	Excellent	Never tried	
c. The way you were treated by the Receptionists at the Surgery?	
Poor	Fair	Good	Very Good	Excellent	
7.  When you see your USUAL Doctor, how do you rate the following:	
a.  How thoroughly the Doctor asked about your symptoms and how you are feeling?	
Poor	Fair	Good	Very Good	Excellent	
b. How well the Doctor listens to what you had to say?	
Poor	Fair	Good	Very Good	Excellent	
c.  How well the Doctor puts you at ease during you physical examination?	
Poor	Fair	Good	Very Good	Excellent	
d.  How much the Doctor involves you in decisions about your care?	
Poor	Fair	Good	Very Good	Excellent	
e.  How well the Doctor explains your problems or any treatment that you may need?	
Poor	Fair	Good	Very Good	Excellent	
f.  The amount of time the Doctor spends with you?	
Poor	Fair	Good	Very Good	Excellent	
g.  The Doctor’s patience with your questions or worries?	
Poor	Fair	Good	Very Good	Excellent	
h.  The Doctor’s caring and concern for you?	
Poor	Fair	Good	Very Good	Excellent	
8.  Have you seen a Nurse in the Surgery in the last 12 months?	
Yes – please go to question 9	No please go to question 10	
9.  Thinking about the Nurse(s) you have seen, how do you rate the following?	
a.  How well they listen to what you say?	
Poor	Fair	Good	Very Good	Excellent	
b.  The quality of the care they provide?	
Poor	Fair	Good	Very Good	Excellent	
c.  How well they explain your health problems and any treatment that you need?	
Poor	Fair	Good	Very Good	Excellent	
10. Finally, please can you tell us a bit about yourself?	
	a. Do you have a long-standing illness or disability?	
		Yes	No	
b.  How old are you?	
0 – 15 years	16 – 24 years	25 – 34 years	35 – 48 years	49 – 64 years	Over 65 years	
c.  What ethnic group do you belong to?	
British or 
mixed British	Black or Black British	Asian or Asian British	Chinese	Irish	
Other white background	Other mixed Background	Mixed	Other ethnic group	I do not want to answer	
d.  Which of the following describes you best?	
Employed	Unemployed	At School or in full time education	Unable to work due to long term illness	Caring for family / home	Retired	
11.  How likely are you to recommend our GP practice to friends & family if they needed similar care or treatment?	
Extremely likely	Likely	Neither Likely or Unlikely	Unlikely 	Extremely unlikely	Don’t know	
12. What was good about your care & what could be improved?	
	
13. We would be interested in any comments or suggestions you may have. Please use the space provided below:	

Thank you for taking the time to complete this questionnaire. 
The results will be available on our website by June 2025.
 If you would like a hard copy of the results, please ask at Reception.