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:
Reception:
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 practice survey forms is used only for the purposes of processing your Survey information and is stored and accessed securely by designated Practice staff.

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

Any personal information transmitted via Practice Survey forms may be anonymised by the Practice 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 kept for as long as the site is active or it is deleted by a site administrator.

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.


Mind - England Your Neighbourhood Professionals. Just a Click Away! Home Chairs UK Ltd Starline 2000
Mind - England Your Neighbourhood Professionals. Just a Click Away! Home Chairs UK Ltd Starline 2000