The General Practice Assessment Questionnaire

1The General Practice Assessment Questionnaire

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

5) Thinking of times when you are willing to see any doctor:

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

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.

12) Thinking about the nurse(s) you have seen, how do you rate the following:

2Finally, it will help us to understand your answers if you could tell us a little about yourself:


Privacy Protection

Information entered into practice survey forms is used only for the purposes of processing your Survey information and is stored and accessed securely by designated Practice staff.

Issues raised in comments may be discussed between relevant members of the Practice. The information is used for quality monitoring purposes, in line with the expectations of the patients submitting the feedback.

Any personal information transmitted via Practice Survey forms may be anonymised by the Practice when this is required to ensure compliance with General Data Protection Regulation.

This information is not shared with any external third party organisations.

This information is kept for as long as the site is active or it is deleted by a site administrator.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away! New Life Clinic
63 Nork Way, Banstead, Surrey, SM7 1HL
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Your Neighbourhood Professionals. Just a Click Away! New Life Clinic
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