Questionnaire

WUTH QIP Questionnaire

Name  Required
Date Of Birth  Required
Are you getting help to complete this form?  Required
Yes
No
Is it easy for you to contact the surgery to get an appointment?  Required
Yes
No
Confused
How did you get to your appointment?  Required
Walk
Wheelchairorscooter
Bus
Car
Taxi
Carer
Notapplicable
Other
Is it easy for you to get to the GP?  Required
Yes
No
Before appointment were you able to say what would help you in your appointment?  Required
Yes
No
If you made suggestions for things to help you in your appointment did these suggestions happen?  Optional
Yes
No
Were you offered any easy to understand information before your GP visit?  Required
Yes
No
When you came to the GP surgery were staff friendly and helpful to you?  Required
Yes
No
Confused
If came with family or a carer, did staff listen to them?  Optional
Yes
No
Confused
Notapplicable
Did staff give you information in a way that you understood?  Required
Yes
No
Confused
How was your appointment?  Required
Excellent
Verygood
Good
Unsure
Bad
Verybad

Additional Information

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Additional Services

ADHD Assessment

Armed Forces veterans

Autism

Carers

Clinical Reviews

GLP-1 agonists (e.g. Mounjaro) and contraception or HRT

Healthier West Wirral Primary Care Network

Hospital Expedite Letter

Inside HPGP

Learning Disability Resources

Mental Health Resources

MSK Self referral

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Older People Resources

Patient Participation Group

Private Letter Policy

Research

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Useful contact numbers

Useful Documents

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