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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.

Results from our survey will be publised on our website and in the practice newsletter.

Thank you.

About Receptionists and Appointments

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

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

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Q3 How easy is it to request a call back from a doctor or nurse on the phone at your GP practice?

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Q4 If you need to see a GP urgently, can you normally get seen on the same day?

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Q5 How easy is it to book an appointment in advance at your practice?

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Q6 How do you normally book your appointments at your practice? Please tick all boxes that apply.

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Thinking of times when you want to see a nurse

Q7 How quickly do you usually get seen?

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Q8 How do you rate this?

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About opening times

Q9 Is your GP practice currently open at times that are convenient to you?

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Q10 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.

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Q11 How often do you see or speak to the doctor you prefer?

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

Q12 Giving you enough time

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Q13 Listening to you

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Q14 Explaining tests and treatments

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Q15 Involving you in decisions about your care

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Q16 Treating you with care and concern

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Q17 Did you have confidence and trust in the GP/Nurse you saw or spoke to?

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

Q18 Overall, how would you describe your experience of your GP surgery?

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Q19 Would you recommend your GP surgery to someone who has just moved to your local area?

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About the Premises

Q20 How do you rate how clean the practice is?

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Q21 How easy is it for you to access the building?

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

Q22 Are you?

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Q23 How old are you?

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Q24 What is your ethnic group?

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Q25 Which of the following best describes you?

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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