GP Ophthalmology Service Questionnaire

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Appointment Details

You have been asked to fill in this questionnaire because you have been sent an appointment at Northgate Medical Practice specialist GP Ophthalmology clinic.

Your feedback is extremely valuable and would be greatly appreciated. This is a service that has been set up in order to reduce the time that you have to wait to see an Ophthalmology specialist, and to improve access to this service.

Your comments will help us to continue to develop and improve services so please try to complete this as fully as possible. This questionnaire will remain anonymous and your subsequent treatments will not be affected by your response.

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Waiting Time

Once your GP/Optician had seen you, how long did you have to wait for your Ophthalmology appointment with the specialist?:

Was this time::

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Appointment Experience

Did you find it easy to get to the clinic for your appointment?:

Were you seen on time?:

If you were not seen at your appointment time, were you kept informed of why?:

Did you feel that the time you spent with the Ophthalmology specialist was long enough?:

Did you feel that your appointment with the specialist GP was thorough enough?:

Were you able to ask any questions throughout your appointment?:

Were you happy with the explanations given to you during your appointment?:

Taking everything into account, how would you rate the overall quality of care of the service you received?:

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Age Group

It would help us to ensure that we have collected the views of all our patients if you could provide us with the following information:

Are You::

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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GP Ophthalmology Service Questionnaire

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NORTHGATE MEDICAL PRACTICE

BLEAN BRANCH SURGERY

CHARTHAM SURGERY

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