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The General Practice Assessment Questionnaire.
Firstly, please tell us the name of your usual Doctor:
In the past 12 months, how many times have you spoken to a Doctor at the Surgery?
How do you rate the way you have been treated by Reception Staff?
If you have ever spoken to a member of the Management Team, how would you rate the treatment you received? (eg: Practice Manager, Medicines Manager.)
How do you rate the hours the Surgery is open?
What additional hours would you like the Surgery to be open? (Please tick all that apply)
Thinking of the times you wanted to speak to a particular Doctor, How quickly did you get to speak to that Doctor?
How would you rate this?
Thinking of the times you are willing to speak to ANY Doctor, how quickly were you able to do this?
How would you rate this?
If you need to speak to a Doctor URGENTLY, can you normally speak to them the same day?
Thinking of the times you have phoned the Surgery, how do you rate ability to get through to the Surgery on the phone?
In general how often do you contact your usual Doctor?
How would you rate this?
Thinking about when you consult your Doctor, how do you rate how thorough the Doctor asked about your symptoms and how you are feeling?
How would you rate how well the Doctor listened to what you have to say?
How would you rate how well the Doctors listened to what you had to say?
How would you rate how much the Doctor involves you in decision making about your care?
How would you rate how well the Doctor explains your problems or any treatment you have needed?
How would you rate the Doctor's patience with your questions and concerns?
How would you rate the Doctor's caring and concern for you?
Have you seen a Nurse at the Surgery in the past 12 months?
Thinking about the Nurse(s) you have seen, how do you rate how well they have listened to what you have to say?
How would you rate the quality of care they provide?
How would you rate how well they explain your health problems or any treatment you have needed?
Finally to help us understand your answers, please tell us a little about yourself. Are you
How old are you?
Do you have any long standing illness, disability or infirmity?
Which ethnic group do you belong to?
Thank you for your time spent completing this questionnaire. We are interested in any other comments you may have. Please enter them in the box below.