Your Experience of Service Primary Health Network (YES PHN) Survey - Central and Eastern Sydney

Your feedback is important to us. This questionnaire was developed with service consumers. It aims to help providers and consumers to work together to build better services. Completion of the survey is voluntary. All information collected in this survey is anonymous. None of the information collected will be used to identify you. It would be helpful if you could answer all questions, but please leave any question blank if you don’t want to answer it.

Thank you for your time.

These questions ask how often we did the following things . . .

Question Title

* 1. Thinking about the care you have received from this service within the last 3 months or less, what was your experience in the following areas?

	Never	Rarely	Sometimes	Usually	Always	Not Applicable
a) You felt welcome using this service	a) You felt welcome using this service Never	a) You felt welcome using this service Rarely	a) You felt welcome using this service Sometimes	a) You felt welcome using this service Usually	a) You felt welcome using this service Always	a) You felt welcome using this service Not Applicable
b) You felt safe using this service	b) You felt safe using this service Never	b) You felt safe using this service Rarely	b) You felt safe using this service Sometimes	b) You felt safe using this service Usually	b) You felt safe using this service Always	b) You felt safe using this service Not Applicable
c) You had access to this service when you needed	c) You had access to this service when you needed Never	c) You had access to this service when you needed Rarely	c) You had access to this service when you needed Sometimes	c) You had access to this service when you needed Usually	c) You had access to this service when you needed Always	c) You had access to this service when you needed Not Applicable
d) You had opportunities for your family and friends to be involved in your support or care if you wanted	d) You had opportunities for your family and friends to be involved in your support or care if you wanted Never	d) You had opportunities for your family and friends to be involved in your support or care if you wanted Rarely	d) You had opportunities for your family and friends to be involved in your support or care if you wanted Sometimes	d) You had opportunities for your family and friends to be involved in your support or care if you wanted Usually	d) You had opportunities for your family and friends to be involved in your support or care if you wanted Always	d) You had opportunities for your family and friends to be involved in your support or care if you wanted Not Applicable
e) Staff were able to provide information or advice to help you manage your physical health if you wanted	e) Staff were able to provide information or advice to help you manage your physical health if you wanted Never	e) Staff were able to provide information or advice to help you manage your physical health if you wanted Rarely	e) Staff were able to provide information or advice to help you manage your physical health if you wanted Sometimes	e) Staff were able to provide information or advice to help you manage your physical health if you wanted Usually	e) Staff were able to provide information or advice to help you manage your physical health if you wanted Always	e) Staff were able to provide information or advice to help you manage your physical health if you wanted Not Applicable
f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.)	f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.) Never	f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.) Rarely	f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.) Sometimes	f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.) Usually	f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.) Always	f) Your individuality and values were respected (such as your culture, faith or gender identity, etc.) Not Applicable
g) This service listened to and followed up on feedback or complaints	g) This service listened to and followed up on feedback or complaints Never	g) This service listened to and followed up on feedback or complaints Rarely	g) This service listened to and followed up on feedback or complaints Sometimes	g) This service listened to and followed up on feedback or complaints Usually	g) This service listened to and followed up on feedback or complaints Always	g) This service listened to and followed up on feedback or complaints Not Applicable
h) The service respected your right to make decisions	h) The service respected your right to make decisions Never	h) The service respected your right to make decisions Rarely	h) The service respected your right to make decisions Sometimes	h) The service respected your right to make decisions Usually	h) The service respected your right to make decisions Always	h) The service respected your right to make decisions Not Applicable
i) The support or care available met your needs	i) The support or care available met your needs Never	i) The support or care available met your needs Rarely	i) The support or care available met your needs Sometimes	i) The support or care available met your needs Usually	i) The support or care available met your needs Always	i) The support or care available met your needs Not Applicable

These questions ask how well we did the following things . . .

Question Title

* 2. Thinking about the care you have received from this service within the last 3 months or less, what was your experience in the following areas?

	Poor	Fair	Good	Very Good	Excellent	Not Applicable
a) Access to a peer worker/ lived experience worker, if you wanted	a) Access to a peer worker/ lived experience worker, if you wanted Poor	a) Access to a peer worker/ lived experience worker, if you wanted Fair	a) Access to a peer worker/ lived experience worker, if you wanted Good	a) Access to a peer worker/ lived experience worker, if you wanted Very Good	a) Access to a peer worker/ lived experience worker, if you wanted Excellent	a) Access to a peer worker/ lived experience worker, if you wanted Not Applicable
b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.)	b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.) Poor	b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.) Fair	b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.) Good	b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.) Very Good	b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.) Excellent	b) Information available to you about this service (such as how the service works, your rights and responsibilities, how to give feedback, etc.) Not Applicable
c) Development of a plan with you that considered all of your needs (including support, coordination and follow up)	c) Development of a plan with you that considered all of your needs (including support, coordination and follow up) Poor	c) Development of a plan with you that considered all of your needs (including support, coordination and follow up) Fair	c) Development of a plan with you that considered all of your needs (including support, coordination and follow up) Good	c) Development of a plan with you that considered all of your needs (including support, coordination and follow up) Very Good	c) Development of a plan with you that considered all of your needs (including support, coordination and follow up) Excellent	c) Development of a plan with you that considered all of your needs (including support, coordination and follow up) Not Applicable
d) The effect of this service on your hopefulness for the future	d) The effect of this service on your hopefulness for the future Poor	d) The effect of this service on your hopefulness for the future Fair	d) The effect of this service on your hopefulness for the future Good	d) The effect of this service on your hopefulness for the future Very Good	d) The effect of this service on your hopefulness for the future Excellent	d) The effect of this service on your hopefulness for the future Not Applicable
e) The effect of this service on your skills and strategies to look after your own health and wellbeing	e) The effect of this service on your skills and strategies to look after your own health and wellbeing Poor	e) The effect of this service on your skills and strategies to look after your own health and wellbeing Fair	e) The effect of this service on your skills and strategies to look after your own health and wellbeing Good	e) The effect of this service on your skills and strategies to look after your own health and wellbeing Very Good	e) The effect of this service on your skills and strategies to look after your own health and wellbeing Excellent	e) The effect of this service on your skills and strategies to look after your own health and wellbeing Not Applicable
f) The effect of this service on your ability to manage your day to day life	f) The effect of this service on your ability to manage your day to day life Poor	f) The effect of this service on your ability to manage your day to day life Fair	f) The effect of this service on your ability to manage your day to day life Good	f) The effect of this service on your ability to manage your day to day life Very Good	f) The effect of this service on your ability to manage your day to day life Excellent	f) The effect of this service on your ability to manage your day to day life Not Applicable
g) Overall, how would you rate your experience with this service in the last 3 months?	g) Overall, how would you rate your experience with this service in the last 3 months? Poor	g) Overall, how would you rate your experience with this service in the last 3 months? Fair	g) Overall, how would you rate your experience with this service in the last 3 months? Good	g) Overall, how would you rate your experience with this service in the last 3 months? Very Good	g) Overall, how would you rate your experience with this service in the last 3 months? Excellent	g) Overall, how would you rate your experience with this service in the last 3 months? Not Applicable

Question Title

* 3. My experience would have been better if... (please detail below)

Question Title

* 4. The best things about this service were... (please detail below)

Demographic Questions
The information in this section helps us to know if we are missing out on feedback from some groups of people. It also tells us if some groups of people have a better or worse experience than others. Knowing this helps us focus our efforts to improve services. No information collected in this section will be used to identify you.

Question Title

* 5. Please list your state

Question Title

* 6. Please list your suburb

Question Title

* 7. What is your gender identity?

Male

Female

Other (please specify)

Question Title

* 8. What is the main language you speak at home?

English

Other (please specify)

Question Title

* 9. Are you of Aboriginal or Torres Strait Islander origin?

Yes - Aboriginal

Yes - Torres Strait Islander

Yes - Aboriginal & Torres Strait Islander

Question Title

* 10. What is your age range?

Under 18 years

18-24 years

25-44 years

45-64 years

65 years and over

Question Title

* 11. What is your clinicians name?

Question Title

* 12. How long have you been receiving support or care from this service?

1 day to 2 weeks

3 to 4 weeks

1 to 3 months

4 o 6 months

More than 6 months

Question Title

* 13. Who referred you to this service?

Family doctor / GP

Another health professional

Nurse

Myself

Other (please specify)

Question Title

* 14. How involved were you in choosing this service?

Not at all involved

A little involved

Fully involved

Question Title

* 15. Did someone help you complete this survey?

Yes - Family or friend

Yes - Someone from the service

Yes - Someone else

Thank you for your time completing this survey. Remember, if anything in this survey has upset you, you can talk to your local doctor, mental health worker or call Lifeline on 13 11 14.