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In the past 6 months, how easy have you found the following:*
Very easy Fairly easy Not very easy Very difficult N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone
Think about the last time you tried to see a doctor fairly quickly. Were you able to see a doctor on the same day or in the next two weekdays that the surgery was open?*
Yes No Cant remember
If you weren't able to be seen during the next 2 weekdays, why was that?
- There weren't any appointments
- Times offered didn't suit
- Appointment was with a Dr who I didn't want to see
- Only a nurse was free but I wanted to see a Dr
- Other
Please let us know the reason:*

How clean do you find the GP Surgery?*
Very clean Fairly clean Not very clean Not at all clean
How helpful do you find the receptionists?*
Very Fairly Not very Not at all
How long after your appointment time do you normally wait to be seen (excluding drop-in clinics)?*
I am normally seen on time 0-15 minutes 15-30 minutes More than 30 minutes Cant remember
How satisfied are you with the opening hours at the surgery?*
Very Fairly Neither satisfied nor dissatisfied Quite dissatisfied Very dissatisfied

How easy is it for you to get an appointment with a GP?*
Very easy Fairly easy Not very easy Not at all easy Don't know

The last time you saw a GP, how good was the GP at each of the following:*

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

How easy is it for you to get an appointment with a Nurse?*
Very easy Fairly easy Not very easy Not at all easy Don't know

The last time you saw a Nurse, how good was the Nurse at each of the following:*

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

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Baldwins Lane Surgery

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone