We would be grateful if you would complete this survey about Bute House, so that we can improve your patient experience. Your opinions are very valuable. Please answer ALL the questions you can. There are no right or wrong answers and your doctor will NOT be able to identify your individual answers. Thank you.

About Your Visit to the GP

How good was the GP at

Q1 Putting you at ease?

 
 
 
 
 
 

Q2 Being polite and considerate?

 
 
 
 
 
 

Q3 Listening to you?

 
 
 
 
 
 

Q4 Giving you enough time?

 
 
 
 
 
 

Q5 Assessing your medical condition?

 
 
 
 
 
 

How good was the GP at:

Q6 Explaining your condition and treatment?

 
 
 
 
 
 

Q7 Involving you in decisions about your care?

 
 
 
 
 
 

Q8 Providing or arranging treatment for you?

 
 
 
 
 
 

Q9 Did you have confidence that the doctor will keep your information confidential?

 
 
 
 

Q10 Would you be completely happy to see this GP again?

 
 

Please enter the name of the GP/Nurse you recently saw and add any additional comments:

About Receptionists and Appointments

Q11 How helpful do you find the receptionists at your GP practice?

 
 
 
 
 

Q12 How easy is it to get through to someone at your GP practice on the phone?

 
 
 
 
 
 

Q13 How easy is it to speak to a doctor or nurse on the phone at your GP practice?

 
 
 
 
 
 

Q14 If you need to see a GP urgently, can you normally get seen on the same day?

 
 
 

Q15 How important is it to you to be able to book appointments ahead of time in your practice?

 
 

Q16 How easy is it to book ahead in your practice?

 
 
 
 
 
 

Q17 How do you normally book your appointments at your practice? (please X all boxes that apply)

 
 
 
 

Q18 Which of the following methods would you prefer to use to book appointments at your practice? (please X all boxes that apply)

 
 
 
 

Thinking of times when you want to see a particular doctor:

Q19 How quickly do you usually get seen?

 
 
 
 
 

Thinking of your most recent consultation with a doctor or nurse

Q20 Is your GP practice currently open at times that are convenient to you?

 
 
 

Q21 Which of the following additional opening hours would make it easier for you to see or speak to someone? (please X all boxes that apply)

 
 
 
 
 
 

Q22 Is there a particular GP you usually prefer to see or speak to?

 
 
 

Q23 How often do you see or speak to the GP you prefer?

 
 
 
 
 

If you haven’t seen a nurse in the last 6 months please go to Q30. How good was the Nurse you last saw at:

Q24 Giving you enough time?

 
 
 
 
 
 

Q25 Listening to you?

 
 
 
 
 
 

Q26 Explaining your condition and treatment?

 
 
 
 
 
 

Q27 Involving you in decisions about your care?

 
 
 
 
 
 

Q28 Providing or arranging treatment for you?

 
 
 
 
 
 

Q29 Would you be completely happy to see this nurse again?

 
 

Thinking about the care you get from your doctors and nurses overall, how well does the practice help you to:

Q30 Overall, how would you describe your experience of your GP surgery?

 
 
 
 
 
 

Q31 Would you recommend your GP surgery to someone who has just moved to your local area?

 
 
 
 
 

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

Q32 Are you ?

 
 

Q33 How old are you?

 
 
 
 
 

Q34 Do you have a long-standing health condition?

 
 
 

Q35 What is your ethnic group?

 
 
 
 
 
 

Q36 Which of the following best describes you?

 
 
 
 
 
 
 

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

GPAQ-R © 2013 is reproduced with the kind permission of the University of Manchester & University of Cambridge. GPAQ incorporates the Primary Care Assessment Survey (PCAS); with permission from Dr Dana Gelb Safran creator of PCAS. www.gpaq.info