Take our survey and tell us how are we doing We are very keen to get to know what you think about the practice and the services offered. Please could you let us know what you think by completing the following survey and click SUBMIT when you are finished. It should take you no more than 10 minutes. Which age group do you fit into? * under 20 20-35 36-50 51-65 over 65 Please indicate whether you are: * male female Which site do you normally visit? * Churchill Ching Way both How often do you visit the surgery? * regularly occasionally rarely How satisfied are you with the service you get from the practice? * very satisfied satisfied fairly satisfied not very satisfied Where do you think the practice could make improvements? premises access appointments waiting areas better information telephone service staff attitudes doctors nurses receptionists Please describe the improvements you would like to see: Would you like to join a patient experience group? yes no If yes, which group would be of interest to you? mother & baby young adults older people Special conditions eg asthma/diabetes other Would you like to join our patient participation group? yes no If yes, and you want to help us develop the practice, please tell us how you would like to be contacted: name telephone email address Closing date for submissions – Friday 20 January. Thank you for taking the time to complete and submit this survey. We will publish the results as soon as possible after 20th of January.