Survey Questionnaire 2018

You can help the Practice to improve its service by completing this survey questionnaire and this has been developed in consultation with our Patient Participation Group.

Survey Questionnaire 2018

If you are completing this after a recent appointment please provide the following information (this is optional):

This is optional
Opening Hours and appointments:
Making/Establishing the contact with the surgery?
Making an appointments (working age Populations):
Your last appointment:
Your Health
Overall experience:
The following questions provide us only with general information about the range of people who have responded to this survey. It will not be used to identify you, and will remain confidential.

Thank you very much for your time and assistance

Privacy Protection

Information entered into survey forms is used only for the purposes of processing your survey information and is stored and accessed securely by designated staff.

Issues raised in comments may be discussed between relevant members of staff. The information is used for quality monitoring purposes, in line with the expectations of those submitting the feedback.

Any personal information transmitted via survey forms may be anonymised when this is required to ensure compliance with General Data Protection Regulation.

This information is not shared with any external third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

Local Services, Let