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)

1General Practice Assessment Questionnaire

2Thinking of times when you want to see a particular doctor:

3Thinking of times you have phoned the practice, how do you rate the following:

4This 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

5Thinking about your most recent consultation with the doctor, how do you rate the following:

6After seeing the doctor today or at your last consultation do you feel...

7Finally, it will help us to understand your answers if you could tell us a little about yourself:

if other, please describe below

8We are interested in any other comments you may have. Please write them here

Your Neighbourhood Professionals Save time and nominate your local pharmacy. Gorselands Nursing Home Alchemy Health Clinic Parley Cross Pharmacy Digitone hearing Co Brook View Nursing Home Penn Lawnmowers
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Ferndown Medical Centre, St Mary’s Road Dorset, Ferndown, Dorset, BH22 9HF
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals Save time and nominate your local pharmacy. Gorselands Nursing Home Alchemy Health Clinic Parley Cross Pharmacy Digitone hearing Co Brook View Nursing Home Penn Lawnmowers
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