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General Practice Assessment Questionnaire
 
We would be grateful if you would complete this survey about your general practice.

Your practice wants to provide the highest standard of care. Feedback from this survery will enable the practice to identify areas that may need improvement. Your opinions are therefore very valuable.

Please answer ALL the questions that apply to you. There are no right or wrong answers and your doctor will NOT be able to identify your individual responses.
 
1. In the past 12 months how many times have you seen a doctor from your practice?
 
2. How do you rate the way you are treated by the receptionists at your practice?
 
3a. How do you rate the hours that your practice is open for appointments?
3b. What additional hours would you like the practice to be open? (Please tick all that apply)
Early Mornings Lunch Times Evenings
Weekends None, I am satisfied  
 
4. Thinking of times when you want to see a particular doctor:
4a. How quickly do you usually get to see that doctor?
4b. How do you rate this?
 
5. Thinking of times when you are willing to see any doctor
5a. How quickly do you usually get seen?
5b. How do you rate this?
 
6. If you need to see a GP urgently, can you normally get seen on the same day?
 
7a. How long do you usually have to wait at the practice for your consultation to begin?
7b. How do you rate this?
 
8. Thinking of times you have phoned the practice, how do you rate the following:
8a. Ability to get through to the practice on the phone?
8b. Ability to speak to a doctor on the phone when you have a question or need medical advice?
 
9. This question asks about your usual doctor. If you don't have a 'usual doctor', answer about the one doctor at your practice who you know the best. If you don't know of any doctors, go straight to question 10.
9a. In general, how often do you see your usual doctor?
9b. How do you rate this?
 
10. Thinking about your consultation with the doctor today, how do you rate the following:
10a. How thoroughly the doctor asks about your symptoms and how you are feeling?
10b. How well the doctor listens to what you had to say?
10c. How well the doctor puts you at ease during your physical examination?
10d. How much the doctor involved you in decisions about your care?
10e. How well the doctor explains your problems or any treatment that you need?
10f. The amount of time your doctor spends with you?
10g. The doctors patience with your questions or worries?
10h. The doctor's caring and concern for you?
 
11. After seeing the doctor do you feel ...
11a. able to understand your problem(s) or illness?
11b. able to cope with your problems(s) or illness?
11c. able to keep yourself healthy?
 
12. All things considered, how satisfied are you with your practice?
 
Finally, it will help us to understand your answers if you could tell us a little bit about yourself:
 
13. Are you :
 
14. How old are you : years
 
15. Do you have any long-standing illness, disability or infirmity? By long standing we mean anything that has troubled you over a period of time or that is likely to affect you over a long period of time.
 
16. Which ethnic group do you belong to?
 
17. Is your accomodation :
 
18. Which of the following best describes you?

Other :
 
We are interested in any other comments you may have. Please write them here.
 
19a. Is there anything particularly good about your health care?
 
19b. Is there anything that could be improved?
 
19c. Any other comments?
 



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