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* 1. METHOD
How did you complete this survey?

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* 2. PROFESSION
Please select:

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* 3. DEMOGRAPHIC INFORMATION
This information is required purely for statistical purposes

  Gender Marital Status Race Age group Would you consider your home town a rural area?
.

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* 4. EDUCATION

  At which tertiary institution did you qualify? At what level of healthcare facility did you complete your internship?
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* 5. ALLOCATION

  Were you allocated to a healthcare facility that was in your top five choices? Were you satisfied with the allocation process? Are you eligible to receive a rural allowance? Where is your healthcare facility?
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* 6. FINANCIAL

  Did you receive a provincial bursary? Did you take a financial loan to pay for your studies? How do you plan to repay your financial obligations? At what type of healthcare facility is this service pay back required?
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* 7. PLACEMENT

  Who employs you during your community service year? What level of healthcare facility do you spend MOST of your time working at this year? If your healthcare facility provided accommodation, were you satisfied with it? Did you take post exposure prophylaxis following a potentially infectious incident during this year? Do you perform official overtime duties as CSO? If yes, what was the average number of overtime hours you work per week?
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* 8. REVIEW OF THE YEAR

Please rate the following statements:

  N/A Strongly Disagree Disagree Neutral Agree Strongly Agree
My tertiary education equipped me for this year
My internship prepared me for this year
I was orientated by the healthcare facility staff on arrival
I have gained professional experience this year
I experienced clinical supervision this year
I received support from the health care facility management
My seniors have been available when I needed assistance
My attitude towards community service has become more negative because of my experience this year.
I feel that I have contributed to the health of the community that I served
I had the necessary supplies and equipment available to do my job
I had the necessary medicines available to do my job
I received my salary and allowances on time
My health care facility environment increased the risk to my personal safety this year
My experience of this year has changed my long-term career plans
I intend to stay on working at the same health care facility next year
In the future I would consider working in an under-served RURAL area in SA
In the future I would consider working in an under-served URBAN area in SA
I would recommend my health care facility to future CSOs
Community service should be made compulsory for people in my profession

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* 9. Future Plans

Where are you planning to work next year?

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* 10. Please rate the following factors in terms of how much they influence where you choose to work next year;

1= least important
5= most important

PLEASE NOTE: You may only use each number ONCE

  N/A 1 2 3 4 5
Friends/Family
Specialisation
Career development (separate to specialisation)
Financial remuneration
Making a positive impact

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* 11. Do you have any plans to move overseas?

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* 12. EMIGRATING SOUTH AFRICAN DOCTORS

Please select up to five factors you think contribute most to SA health professionals leaving the country.

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* 13. If you could give one suggestion to improve the community service programme, what would it be?

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* 14. QUESTIONNAIRE FEEDBACK

Did you find this questionnaire easy to complete?

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