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 Being polite and considerate?
Q2 Listening to you?
Q3 Assessing your medical condition?
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?
Please enter the name of the GP/Nurse you recently saw and add any additional comments:
Q8 How helpful do you find the receptionists at your GP practice?
Q9 How easy is it to get through to someone at your GP practice on the phone?
Q10 If you need to see a GP urgently, can you normally get seen on the same day?
Q11 How important is it to you to be able to book appointments ahead of time in your practice?
Q12 How easy is it to book ahead in your practice?
Q13 Which of the following methods would you prefer to use to book appointments at your practice? (please X all boxes that apply)
Q14 How long did you wait for your consultation to start?
Q15 How do you currently order your repeat prescription/s?
Q16 Are you aware repeat prescriptions can be ordered online or by mobile app 24 hours per day?
If you would like more information on this service please contact reception
Q17 Are there any new services you would like the practice to consider providing?
If you haven’t seen a nurse in the last 6 months please go to Q23
Q18 Putting you at ease?
Q19 Listening to you?
Q20 Explaining your condition and treatment?
Q21 Involving you in decisions about your care?
Q22 Providing or arranging treatment for you?
Q23 Understand your health problems?
Q24 Cope with your health problems
Q25 Keep yourself healthy
Q26 Overall, how would you describe your experience of your GP surgery?
Q27 Are you ?
Q28 How old are you?
Q29 Do you have a long-standing health condition?
Q30 What is your ethnic group?
Q31 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