Bungendore Medical Centre

YOU CAN HELP THIS GENERAL PRACTICE IMPROVE ITS SERVICE

This practice would welcome your honest feedback.

  • All the information provided by patients is put together in a report for the practice. Your answers will not be identifiable.
  • Anonymised data may be used for research.
  • Any comments you make will be included but all attempts will be made to remove information that could identify you.
  • If you are filling out this questionnaire on behalf of someone else please give their judgment of their experience as much as possible.
  • Please select a suitable answer for each question by clicking on the relevant option.
  • If you are unable to answer a question, or a question doesn't apply to you, please leave it blank.
  • When completed simply press the 'Send' button.

The questionnaire typically takes under 4 minutes to complete, but must be submitted within 20 minutes of starting. This survey must completed in one session and may only be submitted once.

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Please rate the following

Q1 Your level of satisfaction with making an appointment


Q2 Opportunity of speaking to a doctor/nurse on the telephone when necessary


Q3 Opportunity for obtaining a home or other visit when necessary


Q4 Level of satisfaction with the after-hours service


Q5 Chances of seeing the doctor/nurse of your choice


Q6 Comfort level of consultation and waiting areas


Q7 Availability of privacy if needed or distressed, including asking my permission if a third party is invited to be present (e.g. medical student, family or staff member)


Q8 Length of time waiting to see the doctor/nurse


About the doctor/nurse (whom you just saw)

Q9 My overall satisfaction with this visit to the doctor/nurse is


Q10 The warmth of the doctor/nurse's greeting to me was


Q11 On this visit I would rate the doctor/nurse’s ability to really listen to me as


Q12 The doctor/nurse’s explanations and information provided about my medical condition was


Q13 The extent to which I felt reassured by the doctor/nurse was


Q14 My confidence in the doctor/nurse's ability is


Q15 The opportunity the doctor/nurse gave me to express my concerns or fears about my care was


Q16 The respect shown to me by the doctor/nurse was


Q17 The amount of time given to me for this visit was


Q18 The doctor/nurse's consideration of my personal situation when advising me was


Q19 The doctor/nurse’s concern for me as a person in this visit was


Q20 The recommendation I would give to my friends about the doctor/nurse would be


About the staff

Q21 The manner in which I was treated by the staff (e.g. receptionists, practice manager)


Q22 The way in which staff keep my personal information private and confidential


Q23 Information provided by the practice on fees and other potential costs


Q24 The opportunity for making complaints to the practice about its service and quality of care


Finally

Q25 The information provided by the practice about how to prevent illness and stay healthy (e.g. alcohol use, health risks of smoking, diet habits, etc.) was


Q26 The coordination of my care by the practice with other healthcare providers (e.g. hospital, specialists, allied health professionals, etc.) was


Q27 The practice's respect of my right to seek a second opinion was


Q28 My overall satisfaction with the general practice is


How can the doctor/nurse and/or practice staff improve their service?


The following questions provide us only with general information about the range of people who have responded to this survey. This information will not be used to identify you and will remain confidential.

Are you:


How old are you in years?


Was this visit with your usual doctor/nurse?


How many times have you visited the practice in the past year?


Do you have any chronic illness or disability that is likely to affect you over a long period of time?


Do you primarily speak English at home?


Do you speak another language apart from English?


Were you born in Australia


Are you of Aboriginal or Torres Strait Islander descent?


Do you hold a Concession or Healthcare Card?


What is the highest level of education you have completed?


Thank you for your help in completing this survey

Please click the send button below to submit your answers


This survey has been provided by CFEP Surveys