1. Your level of satisfaction with the practice’s opening hours
2. Ease of contacting the practice on the telephone
3. Satisfaction with the day and time arranged for your appointment
4. Chances of seeing a doctor within 48 hours
5. Opportunity of speaking to a doctor on the telephone when necessary
6. Comfort level of waiting room (eg chairs, environment)
7. Respect shown for your privacy and confidentiality
8. Length of time waiting in the practice to see the doctor
9. My overall satisfaction with this visit to the doctor is …
10. The warmth of the doctor’s greeting to me was …
11. On this visit I would rate the doctor’s ability to really listen to me as …
12. The doctor’s explanation of things to me was ...
13. The extent to which I felt reassured by this doctor was …
14. My confidence in this doctor’s ability is …
15. The opportunity the doctor gave me to express my concerns or fears was …
16. The respect shown to me by this doctor was …
17. The amount of time given to me for this visit was …
18. This doctor’s consideration of my personal situation in deciding a treatment or advising me was
19. The doctor’s concern for me as a person in this visit was
20. The recommendation I would give to my friends about this doctor would be …
21. Was this visit with your usual GP?
22. The manner in which you are treated by the reception staff
23. Information provided by the practice about its services (e.g. repeat prescriptions, test results, cost of private certificates)
24. The opportunity for making compliments or complaints to this practice about its service and quality of care
25. The information provided by this practice about how to prevent illness and stay healthy (e.g. alcohol use, health risks of smoking, diet habits, etc.) was …
26. The availability and administration of reminder systems for ongoing health checks is
27. The practice’s respect of your right to seek a second opinion was ..
28. My overall satisfaction with this general practice
29. To which of these ethnic groups do you feel you belong? (Please check the box which applies to you)
30. Sex.
31. What age group are you?
32. Do you have a physical or mental condition that has lasted at least 12 months?
33. If you answered yes to the above question, do you consider yourself as disabled?
Any comments about how this practice could improve its service?
Any comments about how the doctor could improve?