CollaboRATE Questionnaire
Thank you for agreeing to complete this questionnaire.
There are three questions. Please select a number between 0 – 4 that reflects how you feel.
- 0 means you felt no effort was made.
- 1 means you felt a little effort was made.
- 2 means you felt some effort was made.
- 3 means you felt a lot of effort was made.
- 4 means you felt every effort was made.
Please try and answer all three questions. Each question has space to explain the number you have given. This is optional but will help us understand what is working well and what could be improved.
Once you have completed the questionnaire, please click the Submit button.
CollaboRATE Information
Thank you for agreeing to complete this questionnaire about your appointment today. It will help us improve our service.
Why are you asking me about my experience?
Your answers will help us understand what works well for patients and should be continued. It will help us understand where improvements could be made.
Why was I chosen to give feedback?
You have just completed your Follow-Up Appointment as part of your long term condition Yearly Health Check.
Do I have to answer this questionnaire?
No, you can opt out. However, it may be helpful for your GP Surgery if you give feedback.
Do I have to answer all the questions?
No you don’t have to but if you do, it will be helpful to your GP surgery to have your feedback.
Each question has space to explain the number you have given. This is optional but will help us understand what is working well and what could be improved.
Will my GP Surgery know what I said about them?
The questionnaire is anonymous (your name or other personal details will not be included).
What happens with my responses?
Your anonymous responses will be saved and reviewed by the GP Surgery before sharing with their Patient Participation Group and other NHS health partners, to help improve practice services as well as wider health services.