Minor Surgery Service Questionnaire

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Patient Information

You have been asked to fill in this questionnaire because you have been sent an appointment for the routine Minor Surgery Service at Northgate Medical Practice.

Your feedback is extremely valuable and would be greatly appreciated.

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.

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

Sex:

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Waiting Time

Once your GP had seen you, how long did you have to wait for your Minor Ops 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/within a reasonable time of your allotted appointment slot?:

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 Minor Ops 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?:

Did you have any pain or discomfort during the procedure? Please rate any discomfort:

Can you rate your overall experience in terms of care and support offered by the GP surgeon and the nurse?:

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After the Operation

Did you receive any post-operative advice and did you feel well informed of any aftercare arrangements?:

Please contact your GP if you experience any kind of problems after your procedure, and we would be very grateful if you would report any issues that you have experienced to:

GP Surgeon, Northgate Medical Practice, 1 Northgate, Canterbury, Kent, CT1 1WL

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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Minor Surgery Service Questionnaire

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NORTHGATE MEDICAL PRACTICE

BLEAN BRANCH SURGERY

CHARTHAM SURGERY