About your visit to the GP today

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* 1. The Doctor or Nurse I saw today was:

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* 2. The Appointment was for:?

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* 3. How good was the GP at:

  Very good Good Satisfactory Poor Very poor N/A
Putting you at ease?
Being polite and considerate?
Listening to you?
Giving you enough time?
Assessing your medical condition?
Explaining your condition and treatment?
Involving you in decisions about your care?
Providing or arranging treatment for you?

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* 4. Did you have confidence that the GP is honest and trustworthy?

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* 5. Did you have confidence that the doctor will keep your information confidential?

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* 6. Would you be completely happy to see this GP again?

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* 7. Please add any comments about the GP:

About receptionists and appointments

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* 8. How helpful do you find the receptionists at your GP practice?

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* 9. How easy is it to get through to someone at your GP practice on the phone?

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* 10. How easy is it to speak to a doctor or nurse on the phone at your GP practice?

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* 11. If you need to see a GP urgently, can you normally get seen on the same day?

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* 12. How important is it to you to be able to book appointments ahead of time in your practice?

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* 13. How easy is it to book ahead in your practice?

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* 14. How do you normally book your appointments at your practice?

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* 15. Which of the following methods would you prefer to use to book your appointments at your practice?

Thinking of times when you want to see a particular doctor:

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* 16. How quickly do you usually get seen?

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* 17. How do you rate how quickly you were seen?

Thinking of times when you want to see any doctor:

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* 18. How quickly do you usually get seen?

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* 19. How do you rate how quickly you were seen?

Thinking of your most recent consultation with a doctor or nurse:

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* 20. How long did you wait for your consultation to start?

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* 21. How do you rate how long you waited?

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* 22. Is your GP practice currently open at times that are convenient to you?

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* 23. 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)

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* 24. Is there a particular GP you usually prefer to see or speak to?

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* 25. How often do you see or speak to the GP you prefer?

About your visit to the nurses:
(If you haven't seen a nurse in the last 6 months, please go to question 28) 

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* 26. How good was the nurse you last saw at:

  Very good Good Satisfactory Poor Very poor N/A
Putting you at ease?
Giving you enough time?
Listening to you?
Explaining your condition and treatment?
Involving you in decisions about your care?
Providing or arranging treatment for you?

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* 27. Would you be completely happy to see this nurse again?

Thinking of the care you get from your doctors and nurses overall 

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* 28. How well does the practice help you to:

  Very well Unsure Not very well Does not apply
Understand your health problems?
Cope with your health problems
Keep yourself healthy

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* 29. Overall, how would you describe your experience of your GP surgery?

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* 30. How likely are you to recommend your GP surgery to friends and family if they need similar care or treatment?

It will help us to understand your answers if you could tell us a little about yourself

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* 31. Are you

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* 32. How old are you?

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* 33. Do you have a long-standing health condition?

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* 34. What is your ethnic group?

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* 35. Which of the following best describes you?

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* 36. Please add any other comments you would like to make about your GP Practice

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