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Always complete this section
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About you |
How old are you? |
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Gender |
Male
Female
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Post code |
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How long have you been our patient? |
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How many times have you used our services in the last year? |
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Name (optional) |
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Email (optional) |
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Please complete as
many of the following
sections as you wish to send feedback about. |
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Tell us what we have done well... |
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What did we get right?
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Tell us what we have done not so well... |
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What did we get wrong?
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Registration |
| How satisfied were you with the registration process? |
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| What do you think we could do better? |
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Booking an appointment |
How satisfied were you with the booking process? |
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| How did you book your appointment? |
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| What do you think we could do better? |
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Seeing a clinician |
| The title clinician refers to a doctor, nurse
practitioner, nurse or health care assistant who offers face-to-face
care for a patient |
Can you recall the last clinician you saw? |
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How satisfied were you with the consultation? |
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| What do you think we could do better? |
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Ordering a repeat prescription |
When did you last order a repeat prescription? |
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How did you make your request for the repeat? |
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How satisfied were you with the repeat ordering process? |
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| What do you think we could do better? |
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| Final comments |
Please use this area to add any other comments: |
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