Patient Questionaire
We would be grateful if you would complete this questionaire.
We want to provide the highest standard of care and feedback from this survey will enable us to identify areas that may need improvement. Your opinions are valuable.
Please answer the questions that apply to you. The questionaire is anonymous so staff will not be able to identify your answers.
Thank you.
The General practice Assessment Questionaire
Q1. Please tell us the name of your usual doctor – if no regular doctor or tend to see registrar indicate in Dr AN Other.
Q2. In the past 12 months, how many times have you seen a doctor from the practice?
Q3. How do you rate the way you were treated by receptionists at the practice?
Q4. How do you rate the hours that the practice is open for appointments?
Q5. What additional hours would you like to see the practice open?
Q6. Thinking of the times when you want to see a particular doctor - how quickly do you usually get to see that doctor?
Q7. How do you rate this?
Q8. Thinking of the times you are willing to see any doctor, how usually do you usually get seen?
Q9. How do you rate this?
Q10. If you needed to see a GP urgently, can you normally get seen (by any GP) on the same day?
Q11. How long do you usually have to wait at the practice for your consultations to begin?
Q12. How do you rate this?
Q13. Thinking of the times you have phoned the practice, how do you rate the following: a) Ability to get through to the practice on the phone?
b) Ability to speak to the doctor on the phone when you have a question or need medical advice?
Q14. These next questions are about your usual doctor. If you dont have a 'usual doctor', answer about the one doctor within the practice that you know best.
a) In general how often do you see your usual doctor?
b) How do you rate this?
Q15. Thinking about when you consult your doctor, how do you rate the following?
a) How thoroughly the doctor asked you about your symptoms and how you are feeling?
b) How well does the doctor listen to what you have to say?
c) How well does the doctor put you at ease during a physical examination?
d) How much does the doctor involve you in decisions about your care?
e) How well does the doctor explain your problems or any treatment that you may need?
f) The amount of time your doctor spends with you?
g) The doctors patience with your questions or worries?
h) The doctors caring and concerns for you?
Q16. Have you seen a nurse from your practice in the past twelve months?
Q17. Thinking about the nurse(s) you have seen, how do you rate:
a) How well were you listened to ?
b) The quality of care provided?
c) How well did they explain your health problems or any treatment that you may need?
Finally it will help us to understand your answers if you could tell us a little about yourself.
Q18. Are you:
Q19. How old are you?
Q20. Do you have a long-standing illness, disability or infirmity? By long- standing we mean anything that has troubled you over a period of time or that is likely to affect you over a period of time?
Q21. Which ethnic group do you belong to?
Q22. Is your accommodation?
Q23. Which of the following best describes you?