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1. How long have you been a patient here?

2. If this is your first visit, how did you hear about us?

Location Parking:

Practice hours:

Availability of staff to help you with your questions

4. Was it easy and convenient to schedule an appointment?

5. When you last telephoned the Practice, were you treated courteously by the staff?

6. When making your last appointment, did the staff make every effort to assist with a time and day that was convenient for you?

7. When you come into the Practice, is the staff courteous?

8. Are you usually seen in a prompt manner?

9. Please rate us on how genuinely interested we seem to be in you as a person

10. During your Practice visits, do you think we adequately answer your questions?

11. Are you satisfied with the quality of medical treatment you receive from us?

12. How satisfied are you with the general appearance and clinically cleanness of our facility?

13. If you waited beyond your appointment time – did someone explained why, and apologised?

14. If you left a message to speak to Dr regarding a patient in hospital, about medical results or possibly a prescription: Was the person courteous?

Did Dr phone back in reasonable time?

15. On a scale of 1 to 5, 1 being extremely poor and 5 being excellent, how would you rate your overall experience with our Practice?