Newsletter « Willowbrook Medical Practice

We would like you to think about your recent experiences of our service.

How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment?*

Can you tell us why you gave that response?

Tick this box if you consent to us publishing your comment anonymously on our website.

Yes I consent to you publishing my comment anonymously on your website

Do you think the practice has improved in the last 12 months?

Additional Optional Questions

If we could change one thing about your care or treatment to improve your experience at Willowbrook Medical Practice, what would it be?

Who did you see today?

GP
Nurse Practitioner
Practice Nurse
HCA/Phlebotomist

Were you satisfied with the appointment you had today?

Please choose

Yes	Unsure/I'd rather not say	No

If you answered No, please tick the appropriate statement(s):

Time not convenient
Not the GP of my choice
I would rather not say
Other

Please tick to indicate whether you are:

Sex

Male
Female

And your age group:

Please tick Yes if you are a carer/guardian/parent completing this on behalf of the patient:

Yes

Consent*

a) By submitting this form to Willowbrook Medical Practice you are agreeing to us storing your contact information on our secure servers.
b) We will only use your data to deal with your reason for contacting us.
c) Your data is stored on our secure NHS servers and information regarding data that is processed through our website servers can be found at https://surgeryweb.org.uk/privacy-policy/?utm_source=sendy&utm_medium=email
d) You can withdraw this consent at any time. Please contact the practice to do so.
This form collects only the information you input into it, plus the time, date and IP address you are connected to.

I agree to the privacy policy.

CAPTCHA

Email

This field is for validation purposes and should be left unchanged.

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone

	Very good	Good	Average	Poor	Very poor	Not applicable
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

	Very good	Good	Average	Poor	Very poor	Not applicable
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

Willowbrook Medical Practice

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