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We would be grateful if you would complete this survey about your general practice. Your doctors want to provide the highest standard of care. Feedback from this survey will help them to identify areas that may need improvement. Your opinions are very valuable.

Please answer ALL the questions that apply to you. There are no right or wrong answers and your doctor will NOT be able to identify your individual answers.

Thank you.

About Receptionists and Appointments

Q1 How helpful do you find the receptionists at your GP practice?

  100%
  0%
  0%
  0%
  0%

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Q2 How easy is it to get through to someone at your GP practice on the phone?

  100%
  0%
  0%
  0%
  0%
  0%

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About opening times

Q3 Is your GP practice currently open at times that are convenient to you?

  100%
  0%
  0%

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Q4 Which of the following additional opening hours would make it easier for you to see or speak to someone? Please tick all boxes that apply.

  0%
  0%
  0%
  100%
  0%
  0%

How good was the last GP you saw at each of the following?

Q5 Listening to you

  100%
  0%
  0%
  0%
  0%
  0%

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Q6 Explaining tests and treatments

  100%
  0%
  0%
  0%
  0%
  0%

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Q7Treating you with care and concern

  100%
  0%
  0%
  0%
  0%
  0%

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Q8 Did you have confidence and trust in the GP you saw or spoke to?

  100%
  0%
  0%
  0%

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If you know the name of the GP you last saw, please write it here:

How good was the last nurse you saw at each of the following?

Q9 Treating you with care and concern

  100%
  0%
  0%
  0%
  0%
  0%

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Q10 Did you have confidence and trust in the nurse you saw or spoke to?

  100%
  0%
  0%
  0%

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If you know the name of the nurse you last saw, please write it here:

Q11Overall, how would you describe your experience of your GP surgery?

  100%
  0%
  0%
  0%
  0%
  0%

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Q12 Would you recommend your GP surgery to someone who has just moved to your local area?

  100%
  0%
  0%
  0%
  0%

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It will help us to understand your answers if you could tell us a little about yourself

Q13 Are you?

  0%
  100%

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Q14 How old are you?

  0%
  0%
  100%
  0%
  0%

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Q35 What is your ethnic group?

  0%
  0%
  100%
  0%
  0%
  0%

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Q16 Which of the following best describes you?

  100%
  0%
  0%
  0%
  0%
  0%
  0%

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Finally, please add any other comments you would like to make about your GP practice:

© 2011 GPAQ V3 including all individual questions is copyright University of Cambridge/University of Manchester