The General Practice Assessment Questionnaire (GPAQ) The General Practice Assessment Questionnaire (GPAQ) Firstly, please tell us the name of your usual doctor Dr Gemma BrownSon Optional Dr James Reader Optional Dr Emilia Drughe Optional Dr Olaitan Tinuoye Optional 1. In the past 12 months, how many times have you seen a doctor from your practice? None Optional Once or twice Optional Three or four times Optional Five or six times Optional Seven times or more Optional 2. How do you rate the way you are treated by receptionists at your practice? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional 3. a) How do you rate the hours that your practice is open for appointments? Very Poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional b) What additional hours would you like the practice to be open? Early morning Optional Lunch times Optional Evenings Optional Weekends Optional None, I am satisfied Optional 4. Thinking of times when you want to see a particular doctor: a) How quickly do you usually get to see that doctor? Same day Optional Next working day Optional Within two working days Optional Within three working days Optional Within four working days Optional Five or more working days Optional Does not apply Optional b) How do you rate this? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional 5.Thinking of times when you are willing to see any doctor: a) How quickly do you usually get seen? Same day Optional Next working day Optional Within two working days Optional Within three working days Optional Within four working days Optional Five or more working days Optional Does not apply Optional b) How do you rate this? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional 6. If you need to see a GP urgently, can you normally get seen on the same day [this is with any GP]? Yes Optional No Optional Don’t know/I have never needed to Optional 7. a) How long do you usually have to wait at the practice for your consultations to begin? 5 minutes or less Optional 6 – 10 minutes Optional 11 – 20 minutes Optional 21 – 30 minutes Optional More than 30 minutes Optional b) How do rate this? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional 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? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Don’t know/never tried Optional b) Ability to speak to a doctor on the phone when you have a question or need medical advice? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Don’t know/never tried Optional 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.9. a) In general, how often do you see your usual doctor? Always Optional Almost always Optional A lot of the time Optional Some of the time Optional Almost never Optional Never Optional b) How do you rate this? Very Poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional 10. Thinking about when you consult your doctor, how do you rate the following: a) How thoroughly the doctor asked about your symptoms and how you are feeling? Very Poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional b) How well the doctor listens to what you had to say? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional c) How well the doctor puts you at ease during your physical examination? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional d) How much the doctor involves you in decisions about your care? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional e) How well the doctor explains your problems or any treatment that you need? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional f) The amount of time your doctor spends with you? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional g) The doctor's patience with your questions or worries? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional h) The doctor's caring and concern for you? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Does not apply Optional 11. Have you seen a nurse from your practice in the past 12 months? Yes – go to question 12 Optional No – go to question 13 Optional 12. Thinking about the nurse(s) you have seen, how do you rate the following: a) How well they listen to what you say? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional b) The quality of care they provide? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional c) How well they explain your health problems or any treatment that you need? Very poor Optional Poor Optional Fair Optional Good Optional Very good Optional Excellent Optional Finally, it will help us to understand your answers if you could tell us a little about yourself: 13. Are you: Male Optional Female Optional Other Optional 14. How old are you? 0-15 Optional 16-24 Optional 24-35 Optional 36-50 Optional 50-65 Optional 65 and over Optional 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. Yes Optional No Optional 16. Which ethnic group do you belong to? White Optional Black or Black British Optional Asian or Asian British Optional Mixed Optional Chinese Optional Other Ethnic Group Optional 17. Is your accommodation? Owner-occupied/mortgaged Optional Rented or other arrangements Optional 18. Which of the following best describes you? Employed (full or part time, inc. self employed) Optional Unemployed and looking for work Optional At school or in full time education Optional Unable to work due to long term illness Optional Looking after your home/family Optional Retired Optional Other Optional