Gateway Health Clinic 35 is committed to providing you with the highest quality health care experience.  We appreciate your time to complete this short feedback survey.  This will help evaluate services and target areas for improvement.

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* 1. Survey year

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* 2. Your postcode

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* 3. Do you identify as Aboriginal and/or Torres Strait Islander?

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* 4. What gender do you identify as?

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* 5. Your age group

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* 6. Please indicate the service/s you have accessed.  Tick all that apply.

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* 7. How did you hear about Clinic 35?  Tick all that apply.

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* 8. Please rate the quality of treatment and/or service you received at Clinic 35.

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* 9. My needs were listened to.

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* 10. My needs were met.

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* 11. I was involved in making decisions about my treatment and care.

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* 12. I was treated with respect by all staff.

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* 13. Please rate your experience with the nursing team.

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* 14. I was able to obtain an appointment within a reasonable time.

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* 15. Follow up actions were clearly explained.

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* 16. My privacy and confidentiality were maintained at all times.

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* 17. Please provide any other feedback or comments about your service with Clinic 35.

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* 18. Would you like us to contact you regarding your feedback?

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