Give us your feedback… Your details (optional) First Name Last Name Email How did you hear about Optimise? From PCN / Federation Another practice Search engine Attended an Optimise training session Saw us at a conferenece/event What services did we provide for you? What is your role? Practice Manager GP Other Please let us know whether you agree that.... The service provided by Optimise was useful and helpful for the practice Strongly Disagree Disagree Neutral Agree Strongly Agree The Optimise team were friendly and put us at ease Strongly Disagree Disagree Neutral Agree Strongly Agree The Optimise team interacted positively with the practice staff members Strongly Disagree Disagree Neutral Agree Strongly Agree The Optimise team answered my CQC questions and my concerns Strongly Disagree Disagree Neutral Agree Strongly Agree Which elements of our visit were the most useful to you? What difference has the visit made for you and the practice? Is there anything we could improve? Any other comments or overall feedback you would like to give? Would you recommend us to others? Yes No Not sure Can we use your feedback in our marketing activity? Yes Yes (but without my name/practice details) No Thank you very much for your feedback
