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/Avanced Practitioner/Pharmacist/Paramedic at

Q1 Putting you at ease?

 
 
 
 
 
 

Q2 Being polite and considerate?

 
 
 
 
 
 

Q3 Listening to you?

 
 
 
 
 
 

Q4 Giving you enough time?

 
 
 
 
 
 

Q5 Assessing your medical condition?

 
 
 
 
 
 

How good was the GP/Advanced Practitioner/Pharmacist/Paramedic at:

Q6 Explaining your condition and treatment?

 
 
 
 
 
 

Q7 Involving you in decisions about your care?

 
 
 
 
 
 

Q8 Providing or arranging treatment for you?

 
 
 
 
 
 

Q9 Would you be completely happy to see this clinician again?

 
 

Please enter the name of the Clinician you recently saw and add any additional comments:

[TEXT]

About Receptionists and Appointments

Q10 How helpful do you find the receptionists at your GP practice?

 
 
 
 
 

Q11 How easy is it to get through to someone at your GP practice on the phone?

 
 
 
 
 
 

Q12 How easy is it to speak to a doctor or nurse on the phone at your GP practice?

 
 
 
 
 
 

Q13 If you need to see a GP urgently, can you normally get seen on the same day?

 
 
 

Q14 How important is it to you to be able to book appointments ahead of time in your practice?

 
 

Q15 How easy is it to book ahead in your practice?

 
 
 
 
 
 

Q16 How do you normally book your appointments at your practice? (please X all boxes that apply)

 
 
 
 

Q17 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 clinician:

Q18 How quickly do you usually get seen?

 
 
 
 
 

Q19 How do you rate how quickly you were seen?

 
 
 
 
 
 
 

About Nursing Team

If you haven’t seen a nurse in the last 6 months please go to Q27. How good was the Nurse you last saw at:

Q20 Putting you at ease?

 
 
 
 
 
 

Q21 Giving you enough time?

 
 
 
 
 
 

Q22 Listening to you?

 
 
 
 
 
 

Q23 Explaining your condition and treatment?

 
 
 
 
 
 

Q24 Involving you in decisions about your care?

 
 
 
 
 
 

Q25 Providing or arranging treatment for you?

 
 
 
 
 
 

Q26 Would you be completely happy to see this nurse again?

 
 

Thinking about the care you get from your Doctors, Advanced Practitioners, Pharmacists, Paramedics 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