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 your GP at
Q1 Making you feel comfortable?
Q2 Giving you enough time?
Q3 Assessing your medical condition?
Q4 Explaining your medical condition and treatment?
Q5 Involving you in decisions about your care?
Q6 Providing and arranging treatment for you?
Please add any further comments you would like to add about your GP experience:
About Receptionists and Appointments
Q7 How helpful do you find the receptionists at your GP practice?
Q8 How easy is it to get through to someone at your GP practice on the phone?
Q9 How easy is it to speak to a doctor or nurse on the phone at your GP practice?
Q10 If you need to see a GP urgently, can you normally get seen on the same day?
Q11 How easy is it to book ahead in your practice?
Q12 Which of the following methods would you prefer to use to book appointments at your practice? (please X all boxes that apply)
Please add any further comments you would like to add about your experience of reception and appointments:
About waiting times and accessibility
Q13 When you need to see a particular GP or nurse, how quickly do you get seen?
Q14 When you can see any available GP or nurse, how quickly do you get seen?
Q15 Thinking of your most recent consultation with a GP or nurse, how long did you wait for your consultation to start?
Q16 Is your GP practice currently open at times that are convenient to you?
Q17 Would any of the following additional opening hours make it easier for you to see or speak to someone? (please X all boxes that apply)
Please add any further comments you would like to add about waiting times and accessibility:
About your visit to the nurse
If you haven’t seen a nurse in the last 6 months please go to Q22.
Q18 How good was the last nurse you saw at putting you at ease?
Q19 How good was the last nurse you saw at giving you enough time?
Q20 How good was the last nurse you saw at explaining your condition and treatment?
Q21 How good was the last nurse you saw at providing or arranging treatment?
Please add any further comments you would like to add about visits to the nurse:
About Montpelier Surgery
Q22 Overall, how would you describe your experience of your GP surgery?
Q23 Would you recommend your GP surgery to someone who has just moved to your local area?
Q24 How easy do you find getting into the building at the surgery ?
Q25 In the Reception Area, can other patients overhear what you say to the receptionist?
Please add any further comments you would like to add about Montpelier Surgery:
About You
It will help us to understand your answers if you could tell us a little about yourself
Q26 Are you ?
Q27 How old are you?
Q28 Do you have a long-standing health condition?
Q29 What is your ethnic group?
Q30 Which of the following best describes you?
Thank you for taking the time to fill in our questionnaire . We value your feedback
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