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.

About Your Visit to the GP

How good was the GP at

Q1 Putting you at ease?

 
 
 
 
 
 

Q2 Listening to you?

 
 
 
 
 
 

Q3 Giving you enough time?

 
 
 
 
 
 

Q4 Assessing your medical condition?

 
 
 
 
 
 

How good was the GP at:

Q5 Explaining your condition and treatment?

 
 
 
 
 
 

Q6 Involving you in decisions about your care?

 
 
 
 
 
 

Q7 Providing or arranging treatment for you?

 
 
 
 
 
 

Q8 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

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)

 
 
 
 

Q14 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:

Q15 How quickly do you usually get seen?

 
 
 
 
 

Q16 How do you rate how quickly you were seen?

 
 
 
 
 
 
 

Thinking of times when you are willing to see any doctor:

Q17 How do you rate how quickly you were seen?

 
 
 
 
 
 
 

Thinking of your most recent consultation with a doctor or nurse

Q18 How long did you wait for your consultation to start?

 
 
 
 
 
 

Q19 How do you rate how long you waited?

 
 
 
 
 
 
 

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)

 
 
 
 
 
 

How good was the Nurse you last saw at:

Q21 Putting you at ease?

 
 
 
 
 
 

Q22 Giving you enough time?

 
 
 
 
 
 

Q23 Listening to you?

 
 
 
 
 
 

Q24 Explaining your condition and treatment?

 
 
 
 
 
 

Q25 Involving you in decisions about your care?

 
 
 
 
 
 

Q26 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:

Q27 Understand your health problems?

 
 
 
 

Q28 Cope with your health problems

 
 
 
 

Q29 Keep yourself healthy

 
 
 
 

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