Practice Assessment Questionnaire
We would be grateful if you would complete this survey about your doctor and general practice. They want to provide the highest standard of care. A summary from this survey will be fed back to them to help them identify areas for improvement. 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.
Q1 Are you filling in this questionnaire for:
If you are filling in the questionnaire for someone else, please answer the following questions from the patient’s point of view.
Q2 In the past 12 months, how many times before today have you seen a doctor from your practice?
Thinking of times you have phoned our practice, how do you rate the following:
Q3 Ability to get through to the practice on the phone?
Q4 Ability to speak to a doctor or triage nurse on the phone when you have a question or need medical advice?
Q5 How do you rate the way you are treated by receptionists at our practice?
Q6 How do you rate the way you are treated by nurses at our practice?
Q7 Were you aware that our practice offers early morning appointments before 8am on two mornings a week?
Q8 Were you aware that our practice offers evening appointments after 6.30pm once weekly?
Q9 If you need to be seen urgently, can you normally get seen at our practice on the same day?
Thinking of times when you want to see a doctor very soon and do not want to wait for a particular doctor
Q10 How quickly do you usually get to see a doctor?
Q11 How do you rate this?
This question asks about your usual doctor. If you don’t have a ‘usual doctor’, answer about the one doctor at your practice who you know best.
Thinking of times when you want to see a particular doctor for a routine problem
Q12 How quickly do you usually get to see that doctor?
Q13 How do you rate this?
We are interested in any other comments you may have. Please write them here.
Is there anything particularly good about your health care?
Is there anything that could be improved?
Any other comments?
Thank you for taking time to complete this questionnaire.
Q42 Are you ?
Q43 How old are you?
Q44 Do you have any 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
Q45 What is your ethnic group?
Q46 Which of the following best describes you?
Q47 If working, what time of day/night do you usually work?