Primary Care Centre
Patient satisfaction survey
*
1.
Age Group
(Required.)
0-17
18-39
40-59
Over 60
*
2.
How many times have you used the PCC within the last 12 months?
(Required.)
0-5
6-10
10-20
Over 20
*
3.
On the most recent occasion, why did you contact the PCC? (may tick more than one)
(Required.)
For a telephone consultation
For a face to face consultation
For a repeat prescription
Health card registration
Other (please specify)
*
4.
What method did you use to make your appointment?
(Required.)
Telephone booking
MyGHA
5.
If you used the telephone booking system how long did you wait until your call was answered?
0-5 mins
5-10 mins
10-15 mins
More than 15 mins
*
6.
Were you able to book your appointment with your preferred clinician? (doctor, nurse practitioner/nurse)?
(Required.)
Yes
No
Not Applicable
7.
If you received a telephone consultation, were you satisfied with the response to your medical concern?
Yes
No (Please give details)
*
8.
How would you rate our telephone appointment service at the Primary Care Centre?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
9.
How would you rate the overall care you received by the Primary Care Centre
nursing
staff?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
10.
How would you rate the overall care you received by the Primary Care Centre
General Practitioners
?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
11.
How would you rate the overall care you received by the Primary Care Centre
administration
staff?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
12.
How would you rate the overall service provided by the Primary Care Centre
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
13.
How would you rate your follow-up care with regards to test results, i.e blood test, scans, X-rays etc?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
14.
How would you rate your follow-up care with regard to nursing services i.e blood pressure, wound care, blood tests, diabetes, dermatology, sexual health etc)?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
15.
How would you rate the repeat prescription service?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
16.
How would you rate the health card registration service?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
17.
How would you rate the doctor on call service?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
*
18.
How would you rate the evening clinic service?
(Required.)
Poor
1 star
Satisfactory
2 stars
Good
3 stars
Excellent
4 stars
Not Applicable
19.
What could we do differently that might have made your experience more positive?
