335
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 Being polite and considerate?
Q2 Listening to you?
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?
Please enter the name of the GP/Nurse you recently saw and add any additional comments:
About Receptionists and Appointments
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)
Thinking of your most recent consultation with a doctor or nurse
Q14 Did you use the self check in facility on your last visit to the practice?
Q If no, why did you choose not to use the self check in?
Q15 How long did you wait for your consultation to start?
Q16 How do you find the wait times in the practice?
Q17 Is your GP practice currently open at times that are convenient to you?
Q18 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)
Q19 Are you aware our Sedgefield Practice is open on a Saturday morning between 0800 and 1200 for all patients of Dr Jones and Partners?
If you haven’t seen a nurse in the last 6 months please go to Q25. How good was the Nurse you last saw at:
Q20 Putting you at ease?
Q21 Listening to you?
Q22 Explaining your condition and treatment?
Q23 Involving you in decisions about your care?
Q24 Providing or arranging treatment for you?
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?
It will help us to understand your answers if you could tell us a little about yourself
Q29 Are you ?
Q30 How old are you?
Q31 Do you have a long-standing health condition?
Q32 What is your ethnic group?
Q33 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