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Dietitian - Patient Survey
1.
Which consultation does this survey relate to?
First consultation
Second consultation
Third consultation
Other (please specify)
2.
Where do you live?
Metropolitan
Regional city
Rural
3.
What state do you live in?
NSW
VIC
SA
WA
QLD
NT
TAS
ACT
4.
How did you hear about NECA’s dietitian service?
Social media
Doctor
Nurse
Internet
Website
Word of mouth
Other (please specify)
5.
Was this your first appointment, or was it a follow-up appointment?
First appointment
Follow-up appointment
6.
Who initiated the appointment?
Myself/family member phoned and made the appointment
It was recommended to me by the NET nurse
7.
How easy was it to schedule an appointment with our dietitian service?
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
8.
How would you rate the availability of appointment times that fit your schedule?
Excellent
Good
Fair
Poor
Very poor