The Orchid House Surgery
spacer
Parley Cross Pharmacy
Ferndown Nursing Home
Main Financial Solutions
Brookview nursing home
Ferndown Chiropody Surgery
Ironing Service
Barrington Centre
Chestnut Lodge - Residebtial Care Home
Letchers Solicitors
 
 
 





NHS Direct

|

THE GENERAL PRACTICE ASSESSMENT QUESTIONNAIRE

Dear Patient

We would be grateful if you would complete this survey about your general practice and your most recent visit.

The doctors at your practice want to provide the highest standard of care. Feedback from this survey will enable them 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.

(This questionnaire should take you no more than 5 minutes to complete)


In the past 12 months, how many times have you seen a doctor from your practice?


How do you rate the way you are treated by receptionists at your practice?


How do you rate the hours that your practice is open for for appointments?


What additional hours would you like the practice to be open? (please select all that apply)


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


How quickly do you usually get to see that doctor?


How do you rate this?


Thinking of times when you are willing to see any doctor:


How quickly do you usually get seen?


How do you rate this?


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


How long do you usually have to wait at the practice for your consultations to begin?


How do you rate this?


Thinking of times you have phoned the practice, how do you rate the following:


Ability to get through to the practice on the phone?


Ability to speak to a doctor on the phone when you have a question or need medical advice?


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 best. If you don't know any of the doctors, go straight to question 10.


In general, how often do you see your usual doctor?


How do you rate this?


Thinking about your most recent consultation with the doctor, how do you rate the following:


How thoroughly the doctor asked about your symptoms and how your feeling?


How well the doctor listened to what you had to say?


How well the doctor put you at ease during your physical examination?


How much the doctor involved you in decisions about your care?


How well the doctor explained your problems or any treatment that you need?


The amount of time your doctor spent with you?


The doctor's patience with your questions or worries?


The doctor's caring and concern for you?


After seeing the doctor today or at your last consultation do you feel...


able to understand your problems(s) or illness?


able to cope with your problem(s) or illness?


able to keep yourself healthy?


Finally, it will help us to understand your answers if you could tell us a little about yourself:


Are you:

Male Female

How old are you?


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 period of time

Yes No

Which ethnic group do you belong to?


Is your accommodation:

Owner-occupied/mortgaged? Rented or other arrangements?

Which of the following best describes you?

If you selected other, please describe

We are interested in any other comments you may have. Please write them here.


Is there anything particularly good about your health care?


Is there anything that could be improved?


Any other comments?



Copyright © Oldroyd Publishing Group Limited. All rights reserved.homeback to top