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 Most recent 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?
Please enter the name of the GP you most 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 How easy is it to speak to a doctor or nurse on the phone at your GP practice?
Q11 If you need to see a GP urgently, can you normally get seen on the same day?
Q12 Is your GP Practice currently open at times that are convenient for you?
Q13 Which of the following additional opening hours would make it easier for you to see or speak to someone?
Q14 Would you be willing to book an appointment with a GP at an alternative surgery for routine matters when our surgery is closed?
Q15 Have you heard of the Extended Access Service
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 doctor:
Q18 How quickly do you usually get seen?
Q19 How do you rate how quickly you were seen?
Thinking of times when you are willing to see any doctor:
Q20 How quickly do you usually get seen?
Q21 How do you rate how quickly you were seen?
Thinking of your most recent consultation with a doctor or nurse
Q22 How long did you wait for your consultation to start?
Q23 How do you rate how long you waited?
Thinking about the care you get from your doctors and nurses overall,
How well does the practice help you to:
Q24 Understand your health problems?
Q25 Cope with your health problems
Q26 Keep yourself healthy
Q27 Overall, how would you describe your experience of your GP surgery?
Q28 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
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:
Based On GPAQ-R2 © 2014 which 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