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* 1. Approximately how many appointments have you had over the past 6 months at your GP surgery? (Include all appointments GP, Nurse etc...)

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* 2. Do you know the name of your ‘named’ GP?

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* 3. If yes or not sure do you get to see your named GP?

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* 4. When did you last see or speak to a GP from your GP surgery?

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* 5. Can you tell us the reason why you last needed a GP appointment?

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* 6. Did you get a suitable appointment to meet your needs?

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* 7. Do you get to see the same GP to maintain continuity of care?

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* 8. How do you normally book appointments to see a GP at your surgery?

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* 9. How do you normally book appointments to see a nurse at your surgery?

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* 10. What type of GP appointment are you offered initially?

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* 11. How would you prefer to book an appointment with your GP?

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* 12. How would you prefer to book an appointment with your nurse?

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* 13. If you telephone the surgery for an appointment with the GP or nurse, how easy is it to get through to someone?

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* 14. Are you able to book a routine appointment in advance at your surgery to see the doctor?

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* 15. Are you able to get an appointment on the same day to see the doctor if needed?

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* 16. In the last 12 months have you used another service because you could not get a GP appointment?

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* 17. If answering yes to Q16, can you say what service(s)

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* 18. Overall how would you describe your experience of making an appointment to see the doctor?

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* 19. Overall how would you describe your experience of making an
appointment to see the nurse?

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* 20. Overall how would you rate staff attitude (medical staff)?

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* 21. Overall how would you rate staff attitude (administrative staff)?

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* 22. In the past 12 months have you changed to another GP surgery? If so can you tell us why?

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* 23. Do you have more to say?  What is good?  What could be improved?

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* 24. Name and Location of GP practice?

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* 25. Month completed questionnaire?

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* 26. We don't ask for your name, so any information you give is 
anonymous

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* 27. Which best describes your situation?

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* 28. Do you look after or give support to family members, friends or neighbours or others because of either:
- Long term physical or mental ill health / disability or
- Problems related to old age?

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