Transcription of GMC Patient Questionnaire - GP Tools
1 GMCP atientQuestionnaireLicenseddo ctorsareexp ectedtoseekfeedbackfromcolleaguesandpati entsandreviewandactup oseofthisexerciseistoprovidedo ctorswithinformationab outtheirworkthroughtheeyesofthosetheywor kwithandtreat, enfor llinginyouranswers1Ab llinginthisquestionnairefor:(Pleasecheck oneb ox)YourselfYoursp estdescrib esthereasonyousawthedo ctorto day?(Pleasecheckalltheb oxesthatapply)ToaskforadviceBecauseofano ngoingproblemFortreatment(includingpre-s criptions)Becauseofaone-o ortanttoyourhealthandwellb eingwasyourreasonforvisitingthedo ctorto day?
2 (Pleasecheckoneb ox)Notveryimp ortantVeryimp ortant2Ab outthedo o dwasyourdo ctorto dayateachofthefollowing?(Pleasecheckoneb oxineachline)Verygo o dGo o dSatisfactoryPo orVeryp o orDo esn'tapplya)Beingp oliteb)Makingyoufeelateasec)Listeningtoy oud)Assessingyourmedicalconditione)Expla iningyourconditionandtreatmentf )Involvingyouindecisionsab outyourtreatmentg) :(Pleasecheckoneb oxineachline)StronglyagreeAgreeNeutralDi sagreeStronglydisagreeDo esn'tapplya)Thisdo ctorwillkeepinformationab outmecon dentialb)Thisdo dentab outthisdo ctor'sabilitytoprovidecare:(Pleasechecko neb ox) ecompletelyhappytoseethisdo ctoragain:(Pleasecheckoneb ox) ctor?
3 (Pleasecheckoneb ox) outthisdo :Nopatientswillb eidenti edwhenthisinformationisgiventothedo ctorwithsomebasicinformationab outwhoto llingthisinonb ehalfofachildorapatientwithadisability,p leaseprovidedetailsab eanIndianCarribb eanChineseIrishWhite&BlackAfricanPakista niAfricanAnyothereth-nicgroupAnyotherwhi tebackgroundWhite&AsianBangladeshiAnyoth erBlackbackgroundAnyotherMixedbackground AnyotherAsianbackground2416190964 0002