Access Questionnaire

Dear Patient

We would be grateful if you would complete this survey about accessing the services we provide.

Your opinions are very valuable.
Please answer ALL the questions that apply to you. There are no right or wrong answers and staff will NOT be able to identify your individual responses.

1. In the past 12 months how many times have you seen a doctor in this practice?





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2. How do you rate the hours that the practice is open for appointments?






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3. What additional hours would you like the practice to be open? (Please tick all that apply)





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4a. Thinking of times when you want to see a particular doctor. How quickly do you usually get to see that doctor?







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4b. How do you rate the answer to 4a?







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5a. Thinking of times when you are willing to see any doctor: How quickly do you usually get seen?







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5b. How do you rate the answer to 5a?







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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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7a. How long do you usually have to wait at the practice for your consultation to begin?





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7b. How do you rate the answer to 7a?






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8a. Thinking of times you have phoned the practice,how do you rate the following? Ability to get through to the practice on the phone







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8b. Ability to speak to a doctor on the phone when you have a question or need medical advice







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9a. In general how often do you see your usual doctor?






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9b. How do you rate the answer to 9a?






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10. Have you seen a nurse from your practice in the past 12 months?


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11. Finally, it will help us to understand your answers if you could tell us a little about yourself. Are you?


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12. How old are you?


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13. Do you have any longstanding illness, disability or infirmity? Longstanding means anything that has or is likely to affect you over a period of time


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14. Which ethnic group do you belong to?






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