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* 1. Your consent. Survey responses are anonymous, and may be shared with partners. If you are happy for us to share this survey, please tick the box.

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* 2. How do you usually book your GP appointment?

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* 3. If you book your appointment by phone, do you usually get through straight away?

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* 4. Can you make an appointment in person?

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* 5. If you have the option to make an appointment online, can you find the online form easily?

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* 6. Are you usually offered a choice of appointment method; for example, an in-person appointment, a phone appointment or a video consultation?

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* 7. Is your appointment usually to see your own GP?

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* 8. When you book an appointment, do you feel respected and supported?

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* 9. For urgent appointments, how long do you usually wait?

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* 10. For routine appointments, how long do you usually wait?

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* 11. Have you agreed to a doctor's consultation over the phone or online in the past?

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* 12. If you agreed to a doctor’s consultation over the phone or online, did the doctor (or other staff member) call you back when you expected them to?

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* 13. When you have a phone or online doctor’s consultation, does it usually meet your needs?

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* 14. Please tick any the statements that apply to you.

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* 15. Please tick any of the statements that apply to you.

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* 16. How satisfied are you with your GP surgery and the service they offer?

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* 17. What do you think works well about the service?

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* 18. What do you think could work better?

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* 19. Any other comments about your GP; for example, prescriptions, referrals etc.?

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* 20. What is the name of your GP surgery? (optional)

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* 21. If you have any suggestions for future topics for our surveys, please list them below:

Demographics:

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* 22. Gender:

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* 23. Age:

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* 24. Household:

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* 25. Health:

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* 26. Ethnicity:

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