care for you

your local medical centre

Patient feedback form
We welcome your feedback on your recent visit to a medical centre in our group. Your comments and suggestions will help us provide a better service. Please note - this service is monitored on working days only.

Your name (*)
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Your email (*)
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Medical centre you visited: (*)
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Date of your visit (*)
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Time of your visit (*)
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Are you enrolled at this practice? (*)
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Making an appointment

Ease of reaching us by phone
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Helpfulness of booking staff
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Getting an appointment at the time you wanted
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Comments - booking experience
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Your arrival
Friendliness of reception staff
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Waiting time
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Comments - reception experience
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Your consultation
My consultation was with
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Respect & privacy in consultation
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Amount of time spent with you
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How well the dr/nurse communicated
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Your understanding of your health issue now
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Do you understand how you'll get test results?
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Comments - consultation
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General
Sensitivity of staff to your cultural values
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Reasons for choosing our centre
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Any other reasons?
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Would you recommend us to others?
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If no, please tell us why:
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Please type the characters you see here. Click 'refresh' if you find the letters hard to read. (*) Please type the characters you see here. Click 'refresh' if you find the letters hard to read.
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