General Practice Assessment Questionnaire |
Name Of Your Usual Doctor: |
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1) In the past 12 months, how many times have you seen a doctor from your practice? |
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2) How do you rate the way you are
treated by receptionists at your practice? |
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3a) How do you rate the hours that your practice is open for appointments? |
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3b) What additional hours would you like the practice to be open? (please tick all that apply) |
Early Morning
Lunch Times
Evenings
Weekends
None, I Am Satisfied |
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4) Thinking of times when you want to see a particular doctor: |
4a) How quickly do you usually get to see that doctor? |
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4b) How do you rate this? |
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5) Thinking of times when you are willing to see any doctor: |
5a) How quickly do you usually get seen? |
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5b) How do you rate this? |
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6) If you need to see a GP urgently, can you normally get seen on the same day? |
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7a) How long do you usually have to wait at the practice for your consultations to begin? |
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7b) How do you rate this? |
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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? |
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8b) Ability to speak to a doctor on the phone when you have a question or need medical advice? |
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These next questions ask about your usual doctor. If you don't have a 'usual doctor', answer about the one doctor at your practice who you know best.
If you don't know any of the doctors, go straight to question 11. |
9a) In general, how often do you see your usual doctor? |
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9b) How do you rate this? |
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10) Thinking about when you consult your doctor, how do you rate the following: |
10a) How thoroughly the doctor asked about your symptoms and how you are feeling? |
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10b) How well the doctor listens to what you had to say? |
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10c) How well the doctor puts you at ease during your physical examination? |
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10d) How much the doctor involves you in decisions about your care? |
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10e) How well the doctor explains your problems or any treatment that you need? |
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10f) The amount of time your doctor spends with you? |
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10g) The doctor's patience with your questions or worries? |
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10h) The doctor's caring and concern for you? |
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11) Have you seen a nurse from your practice in the past 12 months? |
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12) Thinking about the nurse(s) you have seen, how do you rate the following: |
12a) How well they listen to what you say? |
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12b) The quality of care they provide? |
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12c) How well they explain your health problems or any treatment that you need? |
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Finally, it will help us to understand your answers if you could tell us a little about yourself: |
13) Are you? |
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14) How old are you? |
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15) Do you have any long-standing illness, disability or infirmity? |
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16) Which ethnic group do you belong to? |
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17) Is your accommodation? |
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18) Which of the following best describes you? |
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19) We are interested in any other comments you may have. Please enter them: |
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