Parsons Heath Medical Practice
Patient Survey
May 2012
If you could please complete this anonymous survey, giving us your honest views and
return to the practice by 10th June 2012, we will be able to build up an accurate picture
of the patients opinions in the practice.
Section 1 Overall Experience
The questions in Sections 1 are graded from 1 to 4 – 4 being extremely satisfactory
and 1 being not satisfactory at all
Q1. How would you rate the service you received?
Reception Staff
1=
2=
3=
4=
Doctors
1=
2=
3=
4=
Nursing Team
1=
2=
3=
4=
Q2. How easy do you find getting through to a receptionist on the phone?
1=
2=
3=
4=
Q3. 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 2 weekdays when the surgery was open?
Yes = 
No = 
Do not know = 
Q4. When you last made a routine appointment with a doctor or nurse of your
choice, were you able to see them within the next 2 weeks?
Yes = 
No = 
Cannot remember = 
Q5. Following on from Q3 and Q4, when did you last visit the surgery for an
appointment with one of our doctors or nurses?
Within 1 week 
Within 1 month  Within 3 months 
Can’t remember 
Q6. How satisfied are you with the hours that your surgery is currently open?
Very satisfied 
Fairly satisfied  Neither satisfied nor Very dissatisfied 
dissatisfied 
Comment
Martin Hargreaves Jane Beauchamp Una O’Callaghan
Glenys Johnson Wendy Faerestrand Susan Pickford Arul Nambi
Parsons Heath Medical Practice
Patient Survey
May 2012
Section 2 – Surgery Facilities and Environment
The questions in Sections 2 are graded from 1 to 4 – 4 being extremely satisfactory
and 1 being not satisfactory at all
Q7. How would you rate the parking facilities?
1=
2=
3=
4=
Q8. How would you rate access to the surgery for disabled and pushchair
users?
1=
2=
3=
4=
N/A = 
Q9. How do you find our waiting room environment overall?
1=
2=
3=
4=
Q10. How do rate our patient washroom facilities?
1=
2=
3=
4=
N/A = 
Q11. If you have a physical disability, do you feel your needs are catered
for? (For example, ramp access, hearing loops etc)
Very helpful 
Fairly helpful  Not very helpful 
Not applicable 
Q12. Are you satisfied with our automated check in service?
Very satisfied  Fairly satisfied 
Neither satisfied Very dissatisfied 
nor dissatisfied 
Q13. How would you rate the signage in the surgery that directs you when
you are called for your appointment?
1=
2=
3=
4=
Q14. How would you rate the information provided on our patient call
screens?
1=
2=
3=
4=
Q15. When you attend the surgery is your appointment time kept to within
20 minutes of the booked appointment time?
Yes 
No 
Cannot remember 
Q16. How often do you visit Parsons Heath Medical Practice website?
Every Week 
Monthly 
Every 3 Months 
Less frequently 
Martin Hargreaves Jane Beauchamp Una O’Callaghan
Glenys Johnson Wendy Faerestrand Susan Pickford Arul Nambi
Parsons Heath Medical Practice
Patient Survey
May 2012
Q17. With regards to contacting your surgery, how would you prefer to do or
access the following?
Order Repeat Prescriptions

In person

By post

By email

By telephone

Online

Via Pharmacy

Don’t know
Make a routine appointment

In person
Make a suggestion

In person

By post

By email

By telephone

Online

Don’t know
Patient Newsletter

In person

By email

Online

Don’t know

By telephone

Don’t know
Section 3: Additional Feedback
Q18. Are there any health topics that you would like to read about on our
notice boards or information screens at the surgery?
Q19. Is there anything you would specifically like to see included in future
Practice or Patient Group Newsletters?
Q20. Do you have any suggestions for any areas for inclusion in the next
Practice Patient Survey?
Q21. Any other comments
Martin Hargreaves Jane Beauchamp Una O’Callaghan
Glenys Johnson Wendy Faerestrand Susan Pickford Arul Nambi
Parsons Heath Medical Practice
Patient Survey
May 2012
To enable us to analyse the results fully and to make sure that our survey respondents
are representative of our local practice population, we would be grateful if you could
provide the following information:
Are you?
Male / female (delete as applicable)
Your age group?
Under 16 
35 -44

65-74

17 – 24 
45 – 54 
75 – 84 
25 – 34 
55-64 
Over 84 
Ethnic Group?
White
Black
Asian
Mixed
British
 Irish

African
 Caribbean 
Indian
 Pakistani 
Other

White & Black Caribbean 
White & Asian

Other
Other
Chinese



White & Black African 
Other

Thank you for taking the time to complete our Patient Survey for us. These results will
be analysed on behalf of the patients by the Patient Reference Group and we will be
publishing the results and outcomes on the practice website, www.parsonsheath.co.uk
Copies will also be available in all of our waiting areas.
Parsons Heath Medical Practice - Patient Reference Group
Are you aware of our Patient Reference Group? If you would like to get involved, please
speak to a member of staff at our surgeries or e-mail us at: [email protected]
Thank you for completing our survey
Martin Hargreaves Jane Beauchamp Una O’Callaghan
Glenys Johnson Wendy Faerestrand Susan Pickford Arul Nambi