Patient Experience Feedback Questionnaire

What is the questionnaire about?

In order to try to improve the services we provide our patients, please can you take a few minutes to answer these questions about your experience of your last consultation at the Practice. Your opinion is very important to us.

Who should complete the questionnaire?

The questionnaire should be completed by the patient. If you need help to fill in the Questionnaire please contact the Administration Team who would be happy to assist you.

Patient Experience Feedback Questionnaire
1. What type of consultation did you have?
2. Why did you ask for a consultation with a Clinician? (please tick all that apply)
3. What was your expectation of the consultation?
4. Did the consultation meet your expectations?
5. What age bracket are you (the patient) in?
6. Once the Clinician examined you. Were you provided with a self care leaflet “How can I manage my common infection”?
7. Was the information given to you and the leaflet in a format that was easy for you to understand?
8. Did your infection clear up following the self care advice or did you have to make another consultation within 7 to 10 days about the same symptoms?