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EN Patient satisfaction survey

Sir/Madam,


Please take a few minutes of your time to complete the following questionnaire. This way we can work on the care you wish to receive.

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Patient satisfaction survey General Practice MedAr
1

Gender?

2

Age?

3

How many times have you consulted one of the doctors at the practice in the past 12 months?

4

Emergency care

Choose one answer in each row
5

How would you rate the speed of care given?

Choose one answer in each row
6

How would you rate your doctor, nurse and other medical staff?

Choose one answer in each row
7

How would you rate your feelings about the facilities?

Choose one answer in each row
8

Would you recommend us to your friends or family?

9

What do you like about our General Practice ?

10

What could we improve?

11

If you had to rate our practice

How many stars would you rate our general practice and the care we provide you