We would be grateful if you would complete this survey about your practice.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.
About Your Visit to the GP
How good was the GP at
Q1 Being polite and considerate?
Q2 Giving you enough time?
Q3 Assessing your medical condition?
How good was the GP at:
Q4 Explaining your condition and treatment?
Q5 Involving you in decisions about your care?
Q6 Providing or arranging treatment for you?
Q7 Did you have confidence that the GP is honest and trustworthy?
Q8 Did you have confidence that the doctor will keep your information confidential?
Please enter the name of the GP/Nurse you recently saw and add any additional comments:
About Receptionists and Appointments
Q9 How helpful do you find the receptionists at your GP practice?
Q10 How easy is it to get through to someone at your GP practice on the phone?
Q11 If you need to see a GP urgently, can you normally get seen on the same day?
Q12 How easy is it to book ahead in your practice?
Q13 How do you normally book your appointments at your practice? (please X all boxes that apply)
Thinking of times when you are willing to see any doctor:
Q14 How quickly do you usually get seen?
Thinking of your most recent consultation with a doctor or nurse
Q15 How long did you wait for your consultation to start?
Q16 Is your GP practice currently open at times that are convenient to you?
Q17 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)
Q18 Is there a particular GP you usually prefer to see or speak to?
Q19 How often do you see or speak to the GP you prefer?
How good was the Nurse you last saw at: (If you haven’t seen a nurse in the last 6 months please go to Q25).
Putting you at ease?
Q20 Listening to you?
Q21 Explaining your condition and treatment?
Q22 Involving you in decisions about your care?
Q23 Providing or arranging treatment for you?
Q24 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:
Q25 Understand your health problems?
Q26 Cope with your health problems
Q27 Keep yourself healthy
Q28 Overall, how would you describe your experience of your GP surgery?
Q29 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
Q30 Are you ?
Q31 How old are you?
Q32 Do you have a long-standing health condition?
Q33 What is your ethnic group?
Q34 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