Introduction

CheckUP provides access to outreach health services for urban, rural and remote communities across Queensland. Our aim is to deliver excellent services to people throughout Queensland.

Feedback about the service you received today is very important to us. This feedback helps our services to be of the highest standard and quality.

Thank you for completing the survey below.

Question Title

* 1. Are you Aboriginal and/or Torres Strait Islander?

Question Title

* 2. What is your age? (Optional)

Question Title

* 3. What was the appointment or service you received?  eg Podiatry, Psychology, Optometry

Question Title

* 4. Who did you see? eg Dr John Citizen

Question Title

* 5. What is the name of the clinic you visited today?

Question Title

* 6. Where was the location of this service? eg Mount Isa, Gladstone

Question Title

* 7. How many kms did you need to travel to get to your appointment today?

Question Title

* 8. If this service was unavailable, how else would you access a similiar service?

Question Title

* 9. How long was the timeframe from when you received your referral for this appointment, to when you saw the health practitioner?

Question Title

* 10. Were you charged a fee for this service?

Question Title

* 11. Did the staff work together to care for you today?

Question Title

* 12. Was your medical CONDITION explained to you in a way that you could understand?

Question Title

* 13. Was your medical TREATMENT explained to you in a way that you could understand?

Question Title

* 14. Were you included in decisions about your healthcare?

Question Title

* 15. Did you feel listened to?

Question Title

* 16. Was it clearly explained what you need to do now?

Question Title

* 17. Are you satisfied with the care you received today?

Question Title

* 18. Would you recommend the Health Practitioner you saw for this appointment to your family?

Question Title

* 19. Has your treatment resulted in an improvement in your health?

Question Title

* 20. Provide any further comments about the care you received today. Do you have any suggestions for what we can do better next time?

Question Title

* 21. What would you do if this service was available more often through a telehealth service? (still including the face to face service)

Question Title

* 22. Please select all the technology devices you currently use in your day to day life

If you would like to be contacted to discuss the service or your feedback, please provide your contact details below

Question Title

* 23. Please provide the following details

Thank you for completing our Outreach Services Patient feedback survey. Your feedback is important to you.

If you would like to contact the Outreach service team please email outreachservices@checkup.org.au

T