Patient Survey

Licensed doctors are expected to seek feedback from colleagues, patients and reviews and act upon that feedback where appropriate.

The purpose of this exercise is to provide doctors with information about their work through the eyes of those they work with and treat, and is intended to help inform their further development.

Please do not provide your name in this questionnaire.

Please base your answers only on the consultation you have had today.

If you are filling in this in for someone else, please answer the following questions from the patient's point of view.

Please note: no patients will be identified when this information is given to the doctor.

1Patient Survey

2How good was your Doctor today at each of the following:

3Please decide how strongly you agree or disagree with the following statements by ticking ONE box

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Denmark Road Surgery, 3 Enmore Road, South Norwood, London, SE25 5NT
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