Blackthorn Health Centre, Satchell Lane, Hamble SO31 4NQ

Dr Mark Tomson Blackthorn Health Centre, Satchell Lane, Hamble SO31 4NQ 02380453110 [email protected]

360 Appraisal

For my Appraisal this year I have decided to be brave and undergo a 360 appraisal. This involves asking members of the surgery staff ( doctors / nurses/receptionists/admin etc ) to anonymously answer some simple questions that are listed below. If you receive this questionnaire please complete as honestly as you can and then return the form directly to Ann Markham who will type the replies so that when I see them I will not be able to recognise the handwriting! The purpose of this is to see where I can improve my performance as a doctor and team member. Thanking you for your honesty Below are 10 questions and some boxes to tick from very bad to excellent.

1) Does he communicate well with staff and colleagues? V.Poor Poor ok Good Excellent 2) Does he make patients feel at ease? V.Poor Poor ok Good Excellent 3) Does he dress appropriately? V.Poor Poor ok Good Excellent 4) Does he manage time well? V.Poor Poor ok Good Excellent 5) Does he manage stress well? V.Poor Poor ok Good Excellent 6) Does he appreciate the work others do? V.Poor Poor ok Good Excellent 7) Does he support work colleagues? V.Poor Poor ok Good Excellent 8) Is he punctual? V.Poor Poor ok Good Excellent 9) Does he make himself easily available for tasks? V.Poor Poor ok Good Excellent 10) Does he complete his work load on time ? V.Poor Poor ok Good Excellent

Please could you also complete three questions overleaf

What do I do well? In which ways could I improve?

Do you think that there are other questions I should be asking about myself?