| 1. |
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In the past 12 months, how many times have you seen a
doctor from your practice?
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| 2. |
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How do you rate the way you are treated by
receptionists at your practice?
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| 3. |
i) |
How do you rate the hours that your practice is open
for appointments?
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ii) |
What additional hours would you like the practice to
be open? (please tick all that apply)
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| 4. |
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Thinking of times when you want to see a particular
doctor:
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i) |
How quickly do you usually get to see that doctor?
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ii) |
How do you rate this?
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| 5. |
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Thinking of times when you are willing to see any doctor |
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i) |
How quickly do you usually get seen?
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ii) |
How do you rate this?
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| 6. |
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If you need to see a GP urgently, can you normally get seen on the
same day?
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| 7. |
i) |
How long do you usually have to wait at the practice for your
consultations to begin?
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ii) |
How do rate this?
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| 8. |
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Thinking of times you have phoned the practice, how do you rate
the following: |
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i) |
Ability to get through to the practice on the phone?
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ii) |
Ability to speak to a doctor on the phone when you have a question
or need medical advice? |
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| 9 |
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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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i) |
In general, how often do you see your usual doctor?
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ii) |
How do you rate this? |
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| 10 |
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Thinking about when you consult your doctor, how do you rate the
following: |
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i) |
How thoroughly the doctor asked about your symptoms and how you
are feeling?
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ii) |
How well the doctor listens to what you had to say?
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iii) |
How well the doctor puts you at ease during your physical
examination?
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iv) |
How much the doctor involves you in decisions about your care?
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v) |
How well the doctor explains your problems or any treatment that
you need?
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vi) |
The amount of time your doctor spends with you?
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vii) |
The doctor's patience with your questions or worries?
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viii) |
The doctor's caring and concern for you?
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| 11 |
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Have you seen a nurse from your practice in
the past 12 months? (if no, go straight to question 13) |
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| 12 |
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Thinking about the nurse(s) you have seen, how do you rate the
following: |
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i) |
How well they listen to what you say? |
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ii) |
The quality of care they provide? |
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iii) |
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 |
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Sex |
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| 14 |
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How are old are you?
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| 15 |
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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 |
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Which ethnic group do you belong to?
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