Exit Questionnaire

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* 1. Placement information

What is your full name?

What is your nationality?

Which healthcare facility were you working in?

Your Profession

Length of placement

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* 2. Please select the most applicable choice for the statements below:

	Excellent	Good	Average	Problematic	N/A
Relationships with SA doctors?	Relationships with SA doctors? Excellent	Relationships with SA doctors? Good	Relationships with SA doctors? Average	Relationships with SA doctors? Problematic	Relationships with SA doctors? N/A
Relationships with SA nurses?	Relationships with SA nurses? Excellent	Relationships with SA nurses? Good	Relationships with SA nurses? Average	Relationships with SA nurses? Problematic	Relationships with SA nurses? N/A
Relationships with foreign African doctors?	Relationships with foreign African doctors? Excellent	Relationships with foreign African doctors? Good	Relationships with foreign African doctors? Average	Relationships with foreign African doctors? Problematic	Relationships with foreign African doctors? N/A
Relationships with foriegn European doctors?	Relationships with foriegn European doctors? Excellent	Relationships with foriegn European doctors? Good	Relationships with foriegn European doctors? Average	Relationships with foriegn European doctors? Problematic	Relationships with foriegn European doctors? N/A
Relationships with other foreign health care professionals?	Relationships with other foreign health care professionals? Excellent	Relationships with other foreign health care professionals? Good	Relationships with other foreign health care professionals? Average	Relationships with other foreign health care professionals? Problematic	Relationships with other foreign health care professionals? N/A
Relationships with your clinical supervisor at facility?	Relationships with your clinical supervisor at facility? Excellent	Relationships with your clinical supervisor at facility? Good	Relationships with your clinical supervisor at facility? Average	Relationships with your clinical supervisor at facility? Problematic	Relationships with your clinical supervisor at facility? N/A
Relationships with management?	Relationships with management? Excellent	Relationships with management? Good	Relationships with management? Average	Relationships with management? Problematic	Relationships with management? N/A
Relationships with the patients at your facility?	Relationships with the patients at your facility? Excellent	Relationships with the patients at your facility? Good	Relationships with the patients at your facility? Average	Relationships with the patients at your facility? Problematic	Relationships with the patients at your facility? N/A

If you answered 'problematic', please give details

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* 3. During your placement, which group of patients did you most commonly treat?

Violent Injuries and Trauma

HIV/AIDS and TB

Non communicable diseases

Maternal and perinatal conditions

All of the above

Other

Department (please specify)

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* 4. Did you experience language problems that impacted the clinical management of your patients?

Yes

If yes, please give details

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* 5. Did you experience any cultural issues that impacted the clinical management of your patients?

Yes

If yes, please give details

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* 6. What could AHP do to improve the language/cultural barriers you faced in your facility?

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* 7. Did you integrate well in to the local community?

Yes

please give details

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* 8. How many hours did you work at the hospital per day?

8hours and less

9 - 11 hours

12 – 15 hours

More than 15hours (If >15hrs, please explain why)

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* 9. How would you describe the workforce capacity at your facility?

Severely understaffed

Understaffed

Adequate

Overstaffed

N/A

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* 10. Please describe the equipment at your facility

Non existent

Poorly maintained

Adequate

Good

Excellent

N/A

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* 11. Please describe the availability of drugs at your facility

Not available

Insufficient

Readily available

Over supply

N/A

Additional comments

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* 12. Please select the most applicable choice for the statements below:

	Very bad	Bad	Adequate	Good	Excellent	N/A
Describe the general infrastructure at your facility (building, utilities, sanitation etc.)	Describe the general infrastructure at your facility (building, utilities, sanitation etc.) Very bad	Describe the general infrastructure at your facility (building, utilities, sanitation etc.) Bad	Describe the general infrastructure at your facility (building, utilities, sanitation etc.) Adequate	Describe the general infrastructure at your facility (building, utilities, sanitation etc.) Good	Describe the general infrastructure at your facility (building, utilities, sanitation etc.) Excellent	Describe the general infrastructure at your facility (building, utilities, sanitation etc.) N/A
Describe the accommodation you were provided with (if privately sought, skip this question)	Describe the accommodation you were provided with (if privately sought, skip this question) Very bad	Describe the accommodation you were provided with (if privately sought, skip this question) Bad	Describe the accommodation you were provided with (if privately sought, skip this question) Adequate	Describe the accommodation you were provided with (if privately sought, skip this question) Good	Describe the accommodation you were provided with (if privately sought, skip this question) Excellent	Describe the accommodation you were provided with (if privately sought, skip this question) N/A

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* 13. If you could make one suggestion to your healthcare facility to improve its service/working environment, what would it be?

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* 14. Were you victim of crime during your stay in South Africa?

Yes

If yes, please give details

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* 15. Did you acquire new clinical skills during your placement at your healthcare facility?

Yes

If yes, please give details

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* 16. Did you feel that the salary you received for working at your healthcare facility was sufficient for you to live comfortably?

Yes

N/A (Volunteer)

If yes, please give details

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* 17. What is the main reason you are leaving your placement?

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* 18. Would you consider working in South Africa again in the future?

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* 19. Please select the most applicable choice for the statements below:

	Very poor	Poor	Average	Good	Excellent	N/A
How would you rate the service provided by your orientation officer?	How would you rate the service provided by your orientation officer? Very poor	How would you rate the service provided by your orientation officer? Poor	How would you rate the service provided by your orientation officer? Average	How would you rate the service provided by your orientation officer? Good	How would you rate the service provided by your orientation officer? Excellent	How would you rate the service provided by your orientation officer? N/A
How would you rate the service provided by your recruitment consultant?	How would you rate the service provided by your recruitment consultant? Very poor	How would you rate the service provided by your recruitment consultant? Poor	How would you rate the service provided by your recruitment consultant? Average	How would you rate the service provided by your recruitment consultant? Good	How would you rate the service provided by your recruitment consultant? Excellent	How would you rate the service provided by your recruitment consultant? N/A

If you answered 'poor' or 'very poor', please give details

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* 20. Please answer the following questions:

	Yes	No	N/A
Do you have any photographs of these experiences that AHP could use for marketing purposes?	Do you have any photographs of these experiences that AHP could use for marketing purposes? Yes	Do you have any photographs of these experiences that AHP could use for marketing purposes? No	Do you have any photographs of these experiences that AHP could use for marketing purposes? N/A
Would you be interested in becoming a Mentor for another foreign doctor?	Would you be interested in becoming a Mentor for another foreign doctor? Yes	Would you be interested in becoming a Mentor for another foreign doctor? No	Would you be interested in becoming a Mentor for another foreign doctor? N/A
Would you be interested in becoming a Brand Ambassador for AHP?	Would you be interested in becoming a Brand Ambassador for AHP? Yes	Would you be interested in becoming a Brand Ambassador for AHP? No	Would you be interested in becoming a Brand Ambassador for AHP? N/A
Would you be interested in making a donation to AHP?	Would you be interested in making a donation to AHP? Yes	Would you be interested in making a donation to AHP? No	Would you be interested in making a donation to AHP? N/A
Would you be interested in receiving regular updates from AHP?	Would you be interested in receiving regular updates from AHP? Yes	Would you be interested in receiving regular updates from AHP? No	Would you be interested in receiving regular updates from AHP? N/A
Would you be interested in joining an AHP alumni group in your home country?	Would you be interested in joining an AHP alumni group in your home country? Yes	Would you be interested in joining an AHP alumni group in your home country? No	Would you be interested in joining an AHP alumni group in your home country? N/A
Do you give us permission to use any of your responses as quotes on the AHP website?	Do you give us permission to use any of your responses as quotes on the AHP website? Yes	Do you give us permission to use any of your responses as quotes on the AHP website? No	Do you give us permission to use any of your responses as quotes on the AHP website? N/A

If yes to any of the above, please provide your contact details in your home country

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* 21. Did you contribute to a blog during your time in South Africa?

Yes

If yes, please give details.

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* 22. If you could make one suggestion to AHP to improve its service to doctors, what would it be?

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* 23. Do you have a partner and or children who travelled with you to South Africa?

Yes

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* 24. If yes, did your partner find work (paid or voluntary), and where?

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* 25. If yes, did your children attend a local school or were they home schooled?

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* 26. If they attended school, which school, and were you satisfied with it?

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* 27. What activities did you engage in during your free time? (Local sport, travel etc.)

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* 28. Were shops and services easy to access?

Yes

N/A

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* 29. The closest shop from the hospital/home was?

1-2km/

3-5km/

6-9km/

10-15km/

more than 20km

N/A

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* 1. Placement information

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* 2. Please select the most applicable choice for the statements below:

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* 3. During your placement, which group of patients did you most commonly treat?

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* 4. Did you experience language problems that impacted the clinical management of your patients?

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* 5. Did you experience any cultural issues that impacted the clinical management of your patients?

Question Title

* 6. What could AHP do to improve the language/cultural barriers you faced in your facility?

Question Title

* 7. Did you integrate well in to the local community?

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* 8. How many hours did you work at the hospital per day?

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* 9. How would you describe the workforce capacity at your facility?

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* 10. Please describe the equipment at your facility

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* 11. Please describe the availability of drugs at your facility

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* 12. Please select the most applicable choice for the statements below:

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* 13. If you could make one suggestion to your healthcare facility to improve its service/working environment, what would it be?

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* 14. Were you victim of crime during your stay in South Africa?

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* 15. Did you acquire new clinical skills during your placement at your healthcare facility?

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* 16. Did you feel that the salary you received for working at your healthcare facility was sufficient for you to live comfortably?

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* 17. What is the main reason you are leaving your placement?

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* 18. Would you consider working in South Africa again in the future?

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* 19. Please select the most applicable choice for the statements below:

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* 20. Please answer the following questions:

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* 21. Did you contribute to a blog during your time in South Africa?

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* 22. If you could make one suggestion to AHP to improve its service to doctors, what would it be?

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* 23. Do you have a partner and or children who travelled with you to South Africa?

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* 24. If yes, did your partner find work (paid or voluntary), and where?

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* 25. If yes, did your children attend a local school or were they home schooled?

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* 26. If they attended school, which school, and were you satisfied with it?

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* 27. What activities did you engage in during your free time? (Local sport, travel etc.)

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* 28. Were shops and services easy to access?

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* 29. The closest shop from the hospital/home was?

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* 30. What would be your advice to any healthcare professional coming to work in this environment?