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1. |
In the past 12 months, how many times have you seen a doctor from
your practice?
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2. |
How do you rate the way you are treated by receptionists at your
practice?
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3. |
a) |
How do you rate the hours that your practice is open for appointments?
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b) |
What additional hours would you like the practice to be open? (please
tick all that apply)
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4. |
Thinking of times when you want to see a particular doctor:
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a) |
How quickly do you usually get to see that doctor?
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b) |
How do you rate this?
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5. |
Thinking of times when you are willing to see any doctor: |
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a) |
How quickly do you usually get seen?
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b) |
How do you rate this?
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6. |
If you need to see a GP urgently, can you normally get seen on
the same day?
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7. |
a) |
How long do you usually have to wait at the practice for your consultations
to begin?
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b) |
How do rate this?
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8. |
Thinking of times you have phoned the practice, how do you rate
the following: |
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a) |
Ability to get through to the practice on the phone?
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b) |
Ability to speak to a doctor on the phone when you have a question
or need medical advice? |
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These next questions ask 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 11.
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9 |
a) |
In general, how often do you see your usual doctor?
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b) |
How do you rate this? |
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10 |
Thinking about when you consult your doctor, how do you rate the
following: |
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a) |
How thoroughly the doctor asked about your symptoms and how you
are feeling?
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b) |
How well the doctor listens to what you had to say?
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c) |
How well the doctor puts you at ease during your physical examination?
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d) |
How much the doctor involves you in decisions about your care?
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e) |
How well the doctor explains your problems or any treatment that
you need?
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f) |
The amount of time your doctor spends with you?
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g) |
The doctor's patience with your questions or worries?
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h) |
The doctor's caring and concern for you?
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11 |
Have you seen a nurse from your practice in the past 12 months? |
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12 |
Thinking about the nurse(s) you have seen, how do you rate the
following: |
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a) |
How well they listen to what you say? |
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b) |
The quality of care they provide? |
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c) |
How well they explain your health problems or any treatment that
you need? |
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Finally, it will help us to understand your answers if you could tell us a little
about yourself:
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13 |
Are you: |
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14 |
How are old are you?
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15 |
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.
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16 |
Which ethnic group do you belong to?
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