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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.
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| Your name (*) |
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| Email address (*) |
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| Medical centre you visited: (*) |
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| Are you enrolled at this practice? (*) |
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| Date of your visit |
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Making an appointment
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| 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 |
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| Friendliness of reception staff |
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| Waiting time |
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| Comments - reception experience |
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Your consultation |
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| 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 |
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| 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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