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A. Appointments at your GP Surgery or Health Centre

Q1. When did you last see a Doctor at the GP Surgery ?

 
 
 
 

Q2. If you haven’t seen a doctor in the past 6 months, why is that?

Please tick all that apply

 
 
 
 
 

Q3. How do you normally book your appointments to see a doctor or nurse at the Surgery?

Please tick all that apply

 
 
 
 
 
 

Q4. Which of the following methods would you prefer to use to book an appointment at the Surgery ?

Please tick all that apply

 
 
 
 
 
 

B. Getting through on the phone

Q5. In the past 6 months how easy have you found the following ?

Getting through on the phone

 
 
 
 
 
 

Speaking to a Doctor on the phone

 
 
 
 
 
 

Speaking to a Nurse on the phone

 
 
 
 
 
 

Obtaining test results by phone

 
 
 
 
 
 

C. Seeing a Doctor

Q6. In the past 6 months have you tried to see a Doctor fairly quickly ?

By fairly quickly we mean on the same day or in the next two weekdays that the GP or Health Centre was open.

 
 
 

Q7. Thinking about the last time you tried to see a doctor fairly quickly - were you able to see a doctor on the same day or in the next two weekdays that the GP or Health Centre was open ?

 
 
 

Q8. If you weren’t able to be seen during the next 2 weekdays that the GP or Health Centre was open, why was that?

Please tick all that apply

 
 
 
 
 
 
 

Q9. In the past 6 months, have you tried to book ahead for an appointment with a Dr?

By ‘booking ahead’ we mean booking an appointment more than two weekdays in advance.

 
 
 

Q10. Last time you tried, were you able to get an appointment with a Dr more than 2 weekdays in advance ?

 
 
 

D. Arriving for your appointment

Q11. How easy do you find getting into the building at the surgery ?

 
 
 
 

Q12. How clean is the GP surgery ?

 
 
 
 
 

Q13. In the Reception Area, can other patients overhear what you say to the Receptionist?

 
 
 
 

Q14. How helpful do you find the receptionists at the Surgery ?

 
 
 
 

Q15. How long after your appointment time do you normally wait to be seen?

 
 
 
 
 
 
 

Q16. How do you feel about how long you normally have to wait ?

 
 
 
 

E. Seeing the Doctor you prefer

Q17. Is there a particular Dr you prefer to see at the GP Surgery or Health Centre ?

 
 
 

Q18. How often do you see the Dr you prefer ?

 
 
 
 
 

F. Opening Hours

Q19. How satisfied are you with the opening hours at the surgery ?

 
 
 
 
 
 

Q20. As far as you know is the surgery open …

Before 8 am ?

 
 
 
 

At lunchtime ?

 
 
 
 

After 6.30 pm ?

 
 
 
 

On Saturdays ?

 
 
 
 

On Sundays ?

 
 
 
 

Q21. Would you like the surgery open at additional times ?

 
 

G. Seeing a Doctor at the GP Surgery or Health Centre

Q22. The last time you saw a Dr at the surgery how good was the Dr at each of the following ?

Giving you enough time

 
 
 
 
 
 

Asking about your symptoms

 
 
 
 
 
 

Listening

 
 
 
 
 
 

Explaining tests and treatments

 
 
 
 
 
 

Involving you in decisions about your care

 
 
 
 
 
 

Treating you with care and concern

 
 
 
 
 
 

Taking your problems seriously

 
 
 
 
 
 

Q23. Did you have confidence and trust in the doctor you saw ?

 
 
 
 

H. Seeing a Practice Nurse at the GP Surgery or Health Centre

Q24. How easy is it for you get an appointment with a Practice Nurse at the surgery ?

 
 
 
 
 
 

Q25. Last time you saw a Practice Nurse at the Surgery, how good did you find the Practice Nurse at each of the following?

Giving you enough time

 
 
 
 
 
 

Asking about your symptoms

 
 
 
 
 
 

Listening

 
 
 
 
 
 

Explaining tests and treatments

 
 
 
 
 
 

Involving you in decisions about your care

 
 
 
 
 
 

Treating you with care and concern

 
 
 
 
 
 

Taking your problems seriously

 
 
 
 
 
 

I. Your Overall Satisfaction

Q26. In general, how satisfied are you with the care you get at the Surgery ?

 
 
 
 
 

Q27. Would you recommend the Surgery to someone who has just moved to your local area.?

 
 
 
 
 
 

J. Planning your care

Q28. Do you have any long-standing health problem, disability or infirmity? Please include anything that has troubled you over a period of time or that is likely to affect you over a period of time.?

 
 
 

Q29. Have you had discussions in the past 12 months with a Doctor or Nurse about how best to deal with your health problems ?

 
 

Q30. In these discussions…..

Did the doctor or nurse take notice of your views about how to deal with your health problem ?

 
 
 
 

Did the doctor or nurse give you information about the things you might do to deal with your health problem ?

 
 
 
 

Did you and the doctor or nurse agree how best to manage your health problem ?

 
 
 
 

Did the doctor or nurse give you a written document about the discussions you had about managing your health problem ?

 
 
 
 

Would you have liked a written plan summarising your discussion with the doctor or nurse ?

 
 
 
 

Did the doctor or nurse ever mention that you had something called a care plan ?

 
 
 
 

Q31. Do you think that having these discussions with your doctor or nurse has helped improve how you manage your health problems?

 
 
 
 

Q32. In the past 6 months have you had enough support from local services or organisations to help you manage your long-term health condition(s). Please think about all services and organisations, not just health services.

 
 
 
 
 

K. Some questions about you

The following questions will help us to see how experiences vary between different groups of the population. We will keep your answers completely confidential

Q33. Are you male or female ?

 
 

Q34. How old are you ?

 
 
 
 
 
 
 
 
 

Q35. Which of these best describes what you are doing at present ?

If more than one of these applies to you, please tick the main one

 
 
 
 
 
 
 
 

Q36. In general, how long does your journey take from home to work (door to door) ?

 
 
 
 

Q37. If you need to see a doctor at your GP surgery or health centre during your typical working hours, can you take time away from your work to do this ?

 
 

Q38. In general, would you say that your health is …

 
 
 
 
 

Q39. Do you have any of the following conditions? Please include problems due to old age.

Please tick all the boxes that apply to you

 
 
 
 
 
 
 

Q40. Are you a deaf person who uses sign language ?

 
 

Q41. Are you a parent or a legal guardian of any children aged under 16 years currently living in your home ?

 
 

Q42. Do you have carer responsibilities for anyone in your household with a long-standing health problem or disability ?

 
 

This survey is now closed