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Counselling - Patient Survey
1.
Is this your first consultation or a follow up consultation?
Initial consultation
Follow up consultation
2.
Are you a patient, family member or friend?
Patient
Family member
Friend
3.
Where do you live?
Metropolitan
Regional city
Rural
4.
What state do you live in?
NSW
VIC
SA
WA
QLD
NT
TAS
ACT
5.
How did you hear about NECA’s counselling service?
Social media
Doctor
Nurse
Internet
Website
Word of mouth
Other (please specify)
6.
Was this your first appointment, or was it a follow-up appointment?
First appointment
Follow-up appointment
7.
Who initiated the appointment?
Myself/family member phoned and made the appointment
It was recommended to me by the NET nurse
8.
At what point in your neuroendocrine cancer care are you using this service?
Diagnosis - 1 year
1-3 years
3-5 years
5+ years