Your feedback is important to us.  We appreciate you taking the time to complete this questionnaire.

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* 1. Who orders your stoma products?

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* 2. What is your primary source of information on managing your stoma?

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* 3. Please indicate how important the following services are to you.

  Not Applicable Very important Somewhat important Neutral Somewhat unimportant Very unimportant
Your Stoma Association website to provide resources
Your Stoma Association Newsletter
Ostomy Australia Journal
Information meetings for ostomates run by your Stoma Association
Stomal Therapy Nurse consultations made available by your Stoma Association
Online access to a Stomal Therapy  Nurse
Ability to order your supplies online
Ability to pick up orders from your Stoma Association Office
Suppliers' websites for information
Your local stoma support group

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* 4. Generally, how responsive has your Stoma Association been to your questions or concerns?

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* 5. On average how long does it take for you to receive your order?

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* 6. What is your preferred method for receiving information from your
Stoma Association? You can select more than one.

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* 7. Do the office hours of your Stoma Association meet your needs at present?

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* 8. How would you rate your Stoma Association's response to COVID-19 in their service provision?

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* 9. If the payment structure of the Stoma Appliance Scheme were to change, how would you prefer to pay for your portion of the cost of providing supplies and support?

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* 10. What is the source of your information on the following aspects of the Stoma Appliance Scheme?  You can nominate more than one source for each option.

  I do not know how to get this information Health Department Website My Stoma Association  Stoma Support Group Stomal Therapy Nurse My Doctor
The quantity of each stoma product you can order each month
How to order a quantity above the Government allowance for a particular product
How do see the range of stoma products that are available to you

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* 11. Which Stoma Association do your place your orders with?

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* 12. What type of stoma do you have? You can select more than one.

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* 13. How long have you had your Stoma?

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* 14. What is your age range?

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* 15. Please enter your postcode

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* 16. Is there anything else you would like to give feedback on?

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