Drive & Walk Through Flu Vaccination Survey

The purpose of this survey is to provide the practices with feedback about the drive & walk through flue vaccinations carried out in Autumn 2020

Please do not provide your name in this questionnaire.

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

How easy was it for you to make an appointment for your flu vaccination

On arrival at the vaccination site how easy was it to check in.

How long did you have to wait at the site before receiving your vaccination.Please state the number of minutes you had to wait onsite

Please state your opinion of your flu vaccination experience Please state your experience. eg. Very Good, Good , Satisfactory, Poor

Privacy Protection

Information entered into practice survey forms is used only for the purposes of processing your Survey information and is stored and accessed securely by designated Practice staff.

Issues raised in comments may be discussed between relevant members of the Practice. The information is used for quality monitoring purposes, in line with the expectations of the patients submitting the feedback.

Any personal information transmitted via Practice Survey forms may be anonymised by the Practice when this is required to ensure compliance with General Data Protection Regulation.

This information is not shared with any external third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Stag Medical Centre • 162 Wickersley Road, Rotherham, S60 4JW.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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