Radbrook Green Surgery

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 Last Visit to the GP

1. How would you rate your consultation with your doctor?

About Your Last Visit to the Practice Nurse

2. How would you rate your consultation with the Practice Nurse?

Please enter the name of the GP/Nurse you recently saw and add any additional comments:

About Receptionists and Appointments

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

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

5. How easy is it to book an appointment in your practice?

About Long-term conditions

6. If you have a long-term condition, how would you rate the support you have received from the Practice over the last 6 months?

Friends and Family

7. Would you recommend your GP surgery to your friends / family?

It will help us to understand your answers if you could tell us a little about yourself

Are you ?

How old are you?

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