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a
Which of these clinic or services did you visit or use?
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1
Appointment Booking and Care from Counter Staff
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a
How often did the Counter Staff treat you with courtesy and respect?
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b
How often did the Counter Staff explain things in a way you could understand?
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2
Your Care from Nurses
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a
How often did the nurses treat you with courtesy and respect?
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b
How often did the nurses listen carefully to you?
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c
How often did the nurses explain things in a way you could understand?
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3
Your Care from Doctors
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a
How often did the doctors treat you with courtesy and respect?
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b
How often did the doctors listen carefully to you?
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c
How often did the doctors explain things in a way you could understand?
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4
Your Care from Pharmacists and Allied Health Professionals (AHPs)
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a
Were you attended to by any Pharmacist or Allied Health Professional (AHP) during this visit?
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b
Please select the Pharmacist or AHP who attended to you during this visit, and whom you would like to give feedback on
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c
How often did the Pharmacist/AHP treat you with courtesy and respect?
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d
How often did the Pharmacist/AHP listen carefully to you?
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e
How often did the Pharmacist/AHP explain things in a way you could understand?
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f
Before giving you new medicine, the pharmacy staff explained clearly what the new medicine was for
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5
Care Transition and Coordination of Care
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a
When you left the polyclinic, you had a a good understanding of the things you were responsible for in managing your health.
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b
Thinking of all the polyclinic staff who attended to you, how often did they work well together to provide you with care and treatment.
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6
Overall Rating
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a
Would you recommend this polyclinic to your friends and family if they needed treatment?
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b
If there is one key area that SHP has impressed you, what will it be?
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c
If there is one key area that SHP could improve on, what will it be?
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7
Commendation of Staff
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a
Are there any of our staff you would like to compliment?
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b
Name of Staff
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c
Clinic / Department
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d
Describe the service act that made an impression on you.