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GPAQ V2 Postal Questionnaire

GPAQ V2 Postal Questionnaire

GPAQ V2 Postal Questionnaire

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PracticePatientThe General Practice Assessment <strong>Questionnaire</strong>(<strong>GPAQ</strong>)Dear PatientWe would be grateful if you would complete this survey about your general practice.Your practice wants to provide the highest standard of care. Feedback from this survey will enable the practice to identifyareas 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 toidentify your individual responses.Thank you.1In the past 12 months, how many times haveyou seen a doctor from your practice?NoneOnceor twiceThreeor fourtimesFiveor sixtimesSeventimes ormore1 2 3 4 52How do you rate the way you are treated byreceptionists at your practice?VerypoorPoor Fair Good Verygood1 2 3 4 5Excellent63a) How do you rate the hours that yourpractice is open for appointments?b) What additional hours would you like thepractice to be open? (please tick all thatapply)VerypoorEarlymorningPoor Fair Good VerygoodLunchtimesExcellent1 2 3 4 5 61 2 3Evenings Weekends None, I amsatisfied4 54Thinking of times when you want to see a particular doctor: (please tick one box only)SamedayNextworkingdayWithin2 workingdaysWithin 3workingdaysWithin 4workingdays5 or moreworkingdaysDoes notapplya) How quickly do you usuallyget to see that doctor?b) How do you rate this?Verypoor1 2 3 4 5 6 7Poor Fair Good Very ExcellentgoodDoes notapply1 2 3 4 5 6 7© <strong>GPAQ</strong> is copyright of the National Primary Care Research and Development Centre, University of Manchesterand Safran/NEMCH<strong>Postal</strong> Version 2.0www.gpaq.info


5Thinking of times when you are willing to see any doctor: (please tick one box only)a) How quickly do you usuallyget seen?b) How do you rate this?SamedayVerypoorNextworkingdayWithin 2workingdaysWithin 3workingdaysWithin 4workingdaysPoor Fair Good Verygood5 or moreworkingdaysDoes notapply1 2 3 4 5 6 7ExcellentDoes notapply1 2 3 4 5 6 76If you need to see a GP urgently, can younormally get seen on the same day?Yes No Don’t know/never needed to1 2 37a) How long do you usually have to wait atthe practice for your consultations tobegin? (please tick one box only)5 minutesor less6-10minutes11-20minutes21-30minutesMore than30 minutes1 2 3 4 5VerypoorPoor Fair Good VerygoodExcellentb) How do you rate this?1 2 3 4 5 68Thinking of times you have phoned the practice, how do you rate the following:a) Ability to get through to the practice onthe phone?VerypoorPoor Fair Good VerygoodExcellent1 2 3 4 5 6 7Don’t know/never triedb) Ability to speak to a doctor on the phonewhen you have a question or need medicaladvice?1 2 3 4 5 6 7The next questions ask about your usual doctor. If you don’t have a ‘usual doctor’, answer about theone doctor at your practice who you know best. If you don’t know any of the doctors, go straight toquestion 11.9a) In general, how often do you see yourusual doctor?b) How do you rate this?AlwaysVerypoorAlmostalwaysA lot ofthetimeSomeof thetimeAlmostneverPoor Fair Good VerygoodNever1 2 3 4 5 6Excellent1 2 3 4 5 6


10Thinking about when you consult your usual doctor, how do you rate the following:a) How thoroughly the doctor asks aboutyour symptoms and how you are feeling?VerypoorPoor Fair Good VerygoodExcellent1 2 3 4 5 6Does notapply7b) How well the doctor listens to what youhave to say?1 2 3 4 5 67c) How well the doctor puts you at easeduring your physical examination?1 2 3 4 5 67d) How much the doctor involves you indecisions about your care?1 2 3 4 5 67e) How well the doctor explains yourproblems or any treatment that you need?1 2 3 4 5 67f) The amount of time your doctor spendswith you?1 2 3 4 5 67g) The doctor’s patience with your questionsor worries?1 2 3 4 5 67h) The doctor’s caring and concern for you?1 2 3 4 5 6711Have you seen a nurse from your practice inthe past 12 months?Yes- go toquestion 121 2No- go toquestion 1312Thinking about the nurse(s) you have seen, how do you rate the following:a) How well they listen to what you say?VerypoorPoor Fair Good Verygood1 2 3 4 5 6Excellentb) The quality of care they provide?1 2 3 4 5 6c) How well they explain your healthproblems or any treatment that you need?1 2 3 4 5 6


Finally, it will help us to understand your answers if you could tell us a little about yourself:13Are you:Male1 2Female14How old are you?years15Do you have any long-standing illness, disabilityor infirmity? By long-standing we mean anythingthat has troubled you over a period of time or that islikely to affect you over a period of timeYes1 2No16Which ethnic group do you belong to? (please tick one box)White1 4Black or Black British2 5Asian or Asian British3 6MixedChineseOther ethnic group17Is your accommodation: (please tick one box)Owner-occupied/mortgaged?1 2Rented or other arrangements?18Which of the following best describes you? (please tick one box)Employed (full or part time, including self-employed)1 5Looking after your home/familyUnemployed and looking for work2 6Retired from paid work3At school or in full time education7Other (please describe).................................4Unable to work due to long term sickness.......................................................................19We 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?Thank you for taking time to complete this questionnaire.

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