Reception & Administration Staff Feedback Form

Eastbrook Surgery Reception & Administration Staff Feedback Form

Date of Service

(MM/DD/YYYY)

Staff member who provided service for you:

How satisfied are you with Telephone Support

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Professional and courteous call handling	Very UnsatisfiedProfessional and courteous call handling Very Unsatisfied	UnsatisfiedProfessional and courteous call handling Unsatisfied	NeutralProfessional and courteous call handling Neutral	SatisfiedProfessional and courteous call handling Satisfied	Very SatisfiedProfessional and courteous call handling Very Satisfied
Clear communication and accurate information provided	Very UnsatisfiedClear communication and accurate information provided Very Unsatisfied	UnsatisfiedClear communication and accurate information provided Unsatisfied	NeutralClear communication and accurate information provided Neutral	SatisfiedClear communication and accurate information provided Satisfied	Very SatisfiedClear communication and accurate information provided Very Satisfied
Timeliness in responding to patient enquiries	Very UnsatisfiedTimeliness in responding to patient enquiries Very Unsatisfied	UnsatisfiedTimeliness in responding to patient enquiries Unsatisfied	NeutralTimeliness in responding to patient enquiries Neutral	SatisfiedTimeliness in responding to patient enquiries Satisfied	Very SatisfiedTimeliness in responding to patient enquiries Very Satisfied

New Patient Enquiries

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
New patient queries responded to professionally	Very UnsatisfiedNew patient queries responded to professionally Very Unsatisfied	UnsatisfiedNew patient queries responded to professionally Unsatisfied	NeutralNew patient queries responded to professionally Neutral	SatisfiedNew patient queries responded to professionally Satisfied	Very SatisfiedNew patient queries responded to professionally Very Satisfied
Registration process explained clearly	Very UnsatisfiedRegistration process explained clearly Very Unsatisfied	UnsatisfiedRegistration process explained clearly Unsatisfied	NeutralRegistration process explained clearly Neutral	SatisfiedRegistration process explained clearly Satisfied	Very SatisfiedRegistration process explained clearly Very Satisfied

Queries Improvement of

Collection of Urine/Blood Sample Tubes

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Correct tubes provided or collected efficiently	Very UnsatisfiedCorrect tubes provided or collected efficiently Very Unsatisfied	UnsatisfiedCorrect tubes provided or collected efficiently Unsatisfied	NeutralCorrect tubes provided or collected efficiently Neutral	SatisfiedCorrect tubes provided or collected efficiently Satisfied	Very SatisfiedCorrect tubes provided or collected efficiently Very Satisfied
Patients supported with relevant guidance	Very UnsatisfiedPatients supported with relevant guidance Very Unsatisfied	UnsatisfiedPatients supported with relevant guidance Unsatisfied	NeutralPatients supported with relevant guidance Neutral	SatisfiedPatients supported with relevant guidance Satisfied	Very SatisfiedPatients supported with relevant guidance Very Satisfied

Appointment Queries and Amendments

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Appointment requests handled effectively	Very UnsatisfiedAppointment requests handled effectively Very Unsatisfied	UnsatisfiedAppointment requests handled effectively Unsatisfied	NeutralAppointment requests handled effectively Neutral	SatisfiedAppointment requests handled effectively Satisfied	Very SatisfiedAppointment requests handled effectively Very Satisfied
Changes or cancellations managed accurately	Very UnsatisfiedChanges or cancellations managed accurately Very Unsatisfied	UnsatisfiedChanges or cancellations managed accurately Unsatisfied	NeutralChanges or cancellations managed accurately Neutral	SatisfiedChanges or cancellations managed accurately Satisfied	Very SatisfiedChanges or cancellations managed accurately Very Satisfied

Overall Service Rating

Overall quality of reception and administrative service

Accessibility Adjustments

Accessibility Commitment for Eastbrook Surgery

At Eastbrook Surgery, we are committed to making our digital presence as accessible and inclusive as reasonably possible for all users, including individuals with disabilities. Our goal is to improve the usability of eastbrooksurgery.co.uk/ and to support a more accessible experience for everyone, regardless of their abilities or the technologies they use.

Our Approach to Accessibility

We aim to align with the Web Content Accessibility Guidelines (WCAG), which define internationally recognized standards for digital accessibility. While full compliance cannot always be guaranteed, we strive to implement improvements where feasible and regularly review accessibility-related aspects of our website. Accessibility is an ongoing process, and we are committed to improving the experience over time as technologies, standards, and user needs evolve.

Accessibility Features

To support accessibility, eastbrooksurgery.co.uk/ may utilize tools such as the OneTap accessibility toolbar. This interface provides users with a range of helpful features, including:

Adjustable text size and contrast settings
Highlighting of links and text for better visibility
Full keyboard navigation of the toolbar interface
Quick launch via keyboard shortcut: Alt + . (Windows) or ⌘ + . (Mac)

Please note the following:

The availability and effectiveness of these features depend on the website's configuration and ongoing maintenance.
While we strive to ensure accessibility, we cannot guarantee that every part of eastbrooksurgery.co.uk/ will be fully accessible at all times. Some content may be provided by third parties or affected by technical constraints beyond our immediate control.

Feedback and Contact

We welcome your feedback. If you experience any accessibility barriers or have suggestions for improvement, please contact us: Email: nelondonicb.eastbrooksurgery@nhs.net We are committed to reviewing all inquiries and aim to respond within 3–5 business days. If you require assistance accessing any part of this website, we are happy to provide support through alternative channels upon request. Last updated: October 13, 2025

Select your accessibility profile

Vision Impaired Mode

Enhances website's visuals

Seizure Safe Profile

Clear flashes & reduces colour

ADHD Friendly Mode

Focused browsing, distraction-free

Blindness Mode

Reduces distractions, improves focus

Epilepsy Safe Mode

Dims colours and stops blinking

Content Modules

Font Size

Default

Line Height

Default

Colour Modules

Orientation Modules