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 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 at:
Q6 Explaining your condition and treatment?
Q7 Involving you in decisions about your care?
Q8 Providing or arranging treatment for you?
Q9 Did you have confidence that the GP is honest and trustworthy?
Q10 Did you have confidence that the doctor will keep your information confidential?
Q11 Would you be completely happy to see this GP again?
Please enter the name of the GP/Nurse you recently saw and add any additional comments:
About Receptionists and Appointments
Q12 How helpful do you find the receptionists at your GP practice?
Q13 How easy is it to get through to someone at your GP practice on the phone?
Q14 How easy is it to speak to a doctor or nurse on the phone at your GP practice?
Q15 If you need to see a GP urgently, can you normally get seen on the same day?
Q16 How important is it to you to be able to book appointments ahead of time in your practice?
Q17 How easy is it to book ahead in your practice?
Q18 How do you normally book your appointments at your practice? (please X all boxes that apply)
Q19 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:
Q20 How quickly do you usually get seen?
Q21 How do you rate how quickly you were seen?
Thinking of times when you are willing to see any doctor:
Q22 How quickly do you usually get seen?
Q23 How do you rate how quickly you were seen?
Thinking of your most recent consultation with a doctor or nurse
Q24 How long did you wait for your consultation to start?
Q25 How do you rate how long you waited?
Q26 Is your GP practice currently open at times that are convenient to you?
Q27 Which of the following additional opening hours would make it easier for you to see or speak to someone? (please X all boxes that apply)
Q28 Is there a particular GP you usually prefer to see or speak to?
Q29 How often do you see or speak to the GP you prefer?
If you haven’t seen a nurse in the last 6 months please go to Q37. How good was the Nurse you last saw at:
Q30 Putting you at ease?
Q31 Giving you enough time?
Q32 Listening to you?
Q33 Explaining your condition and treatment?
Q34 Involving you in decisions about your care?
Q35 Providing or arranging treatment for you?
Q36 Would you be completely happy to see this nurse again?
Thinking about the care you get from your doctors and nurses overall, how well does the practice help you to:
Q37 Understand your health problems?
Q38 Cope with your health problems
Q39 Keep yourself healthy
Q40 Overall, how would you describe your experience of your GP surgery?
Q41 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
Q42 Are you ?
Q43 How old are you?
Q44 Do you have a long-standing health condition?
Q45 What is your ethnic group?
Q46 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