Young Persons Questionnaire

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About You

We only use this information in case we need to contact you about your experience.

We use this to calculate your age

Your Experience

How Easy do you find it to book an appointment: *

Are you able to get appointments at suitable times?: *

When do you prefer to have an appointment with a Doctor or Nurse?: *

Are you able to get an appointment with the Doctor or Nurse of your choice?: *

How have you found the Reception and Dispensing staff when you have visited the Surgery?: *

Did you have to wait a long time to get an appointment?: *

When you arrived for your appointment, were you waiting a long time to be seen?: *

Did the Doctor or Nurse introduce themselves to you?: *

Did you feel that you were listened to?: *

How clearly was information explained to you?: *

Did you feel that the Doctor or Nurse spent a sufficient amount of time with you?: *

Did you leave your appointment feeling satisfied with the outcome?: *

Please leave us any further feedback that you might have on ways that we can improve our service for young people.

Privacy Consent

We use this information to allow the practice team to contact you should it been deemed appropriate. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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Young Persons Questionnaire

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