First Contact Practitioner Feedback

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We would be grateful if you would complete this questionnaire about your visit to the First Contact Practitioner (FCP) today. The FCP that you have seen is a fully qualified practitioner who has had further training to work at first contact level in general practice/primary care.

Feedback from the survey will enable them to identify areas that may need improvement. Your opinions are therefore very valuable.

Please answer all the questions below. There are no right or wrong answers and your FCP will not be able to identify your individual responses.

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Personal Details

Age Group: *

May be used to identify you

Please rate the below statements on your recent consultation with the First Contact Practitioner (1 = Poor - 7 = Outstanding)

Made you feel at ease (being friendly and warm towards you, treating you with respect, not cold or abrupt).: *

Let you tell “your” story... (giving you time to fully describe your illness in your own words, not interrupting or diverting you.: *

Really listened... (paying close attention to what you were saying, not looking at the notes or computer as you were talking).: *

Being interested in you as a whole person... (asking/knowing relevant details about your life, your situation; not treating you as ‘just a number’).: *

Fully understood your concerns... (communicating that he/she had accurately understood your concerns; not overlooking or dismissing anything).: *

Showed care and compassion... (seeming genuinely concerned, connecting with you on a human level, not being indifferent or ‘detached’).: *

Being positive... (having a positive approach and a positive attitude, being honest but not negative about your problems).: *

Explained things clearly... (fully answering your questions, explaining clearly, giving you adequate information, not being vague). : *

Helping you to take control... (exploring with you what you can do to improve your health yourself, encouraging rather than ‘lecturing’ you).: *

Made a plan of action with you... (discussing the options, involving you in decisions as much as you want to be involved, not ignoring your views).: *

Overall, how would you rate your consultation today? : *

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This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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