Dear Patient
We would be grateful if you would complete this survey about your general practice.
The practice wants 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 staff will NOT be able to identify your individual responses
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10f. The amount of time your doctor spends with you?
10d. How much your doctor involves you in decisions about your care?
10c. How well your doctor puts you at ease during your physical examination?
10a How thoroughly does your doctor ask about your symptoms and how you are
      feeling?

11 to 20 minutes

Very poor

Very poor

Very poor

Very poor

1. In the past 12 months how many times have you seen a doctor in this practice?
2. How do you rate the way you are treated by 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)
4a. Thinking of times when you want to see a particular doctor:
      How quickly do you usually get to see that doctor?
4b. How do you rate this?
5a.  Thinking of times when you are willing to see any doctor:
      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?
7b. How do you rate this?
8. Thinking of times you have phoned the practice, how do you rate the following:
    a) Ability to get through to the practice on the phone?
   b) Ability to speak to a doctor on the phone when you have a question or need              medical advice?
9a. In general, how often do you see your usual doctor?
9b. How do you rate this?
10b. How well your doctor listens to what you have to say?
10e. How well the doctor explained your problem or any treatment that you need?
Please rate the following
10g. The doctors patience with your questions or worries?
10h. The doctors caring and concern for you?
11. After seeing the doctor do you feel
      a) Able to understand your problem(s) or illness?
     b) able to cope with your problem(s) or illness?
     c) able to keep yourself healthy
Finally it will help us to understand your answers if you could tell us a little about yourself:
12. Are you?
14. Do you have any longstanding illness, disability or infirmity? By longstanding we mean anything that has troubled you over a period of time or that is likely to affect you over a period of time.
15 Which ethnic group do you belong to?
16. Is your accomodation?
17. Which of the following best describes you?
18. We are interested in any other comments you may have. Please type them below
7a. How long do you usually have to wait at the practice for your consultation
     to begin?
Thank you for taking the time to complete this questionnaire
Patient satisfaction questionnaire