CQRH Client Satisfaction Survey

Central Queensland Rural Health (CQRH) is committed to continuous improvement. To help us achieve this, we want to hear your experience of our services and ideas for how we can better meet your needs.

Please take a few minutes to complete this survey and help us shape our service to you.

All answers are anonymous and confidential.

	Strongly Agree	Agree	Uncertain	Disagree	Strongly Disagree
Do you feel that your Midwife listened carefully to you?	Do you feel that your Midwife listened carefully to you? Strongly Agree	Do you feel that your Midwife listened carefully to you? Agree	Do you feel that your Midwife listened carefully to you? Uncertain	Do you feel that your Midwife listened carefully to you? Disagree	Do you feel that your Midwife listened carefully to you? Strongly Disagree
Do you feel that your culture, beliefs and values were respected?	Do you feel that your culture, beliefs and values were respected? Strongly Agree	Do you feel that your culture, beliefs and values were respected? Agree	Do you feel that your culture, beliefs and values were respected? Uncertain	Do you feel that your culture, beliefs and values were respected? Disagree	Do you feel that your culture, beliefs and values were respected? Strongly Disagree
Do you feel you had the opportunity to discuss your support and care needs?	Do you feel you had the opportunity to discuss your support and care needs? Strongly Agree	Do you feel you had the opportunity to discuss your support and care needs? Agree	Do you feel you had the opportunity to discuss your support and care needs? Uncertain	Do you feel you had the opportunity to discuss your support and care needs? Disagree	Do you feel you had the opportunity to discuss your support and care needs? Strongly Disagree
Do you feel that you were shown respect for how you were feeling?	Do you feel that you were shown respect for how you were feeling? Strongly Agree	Do you feel that you were shown respect for how you were feeling? Agree	Do you feel that you were shown respect for how you were feeling? Uncertain	Do you feel that you were shown respect for how you were feeling? Disagree	Do you feel that you were shown respect for how you were feeling? Strongly Disagree
Do you feel your Midwife explained things to you in a way that was easy to understand?	Do you feel your Midwife explained things to you in a way that was easy to understand? Strongly Agree	Do you feel your Midwife explained things to you in a way that was easy to understand? Agree	Do you feel your Midwife explained things to you in a way that was easy to understand? Uncertain	Do you feel your Midwife explained things to you in a way that was easy to understand? Disagree	Do you feel your Midwife explained things to you in a way that was easy to understand? Strongly Disagree
Would you recommend our Maternal Health service to others?	Would you recommend our Maternal Health service to others? Strongly Agree	Would you recommend our Maternal Health service to others? Agree	Would you recommend our Maternal Health service to others? Uncertain	Would you recommend our Maternal Health service to others? Disagree	Would you recommend our Maternal Health service to others? Strongly Disagree
Would you access CQRH services again if you needed help in the future and were eligible to do so?	Would you access CQRH services again if you needed help in the future and were eligible to do so? Strongly Agree	Would you access CQRH services again if you needed help in the future and were eligible to do so? Agree	Would you access CQRH services again if you needed help in the future and were eligible to do so? Uncertain	Would you access CQRH services again if you needed help in the future and were eligible to do so? Disagree	Would you access CQRH services again if you needed help in the future and were eligible to do so? Strongly Disagree
Do you feel that you had a longer wait than acceptable to receive an appointment?	Do you feel that you had a longer wait than acceptable to receive an appointment? Strongly Agree	Do you feel that you had a longer wait than acceptable to receive an appointment? Agree	Do you feel that you had a longer wait than acceptable to receive an appointment? Uncertain	Do you feel that you had a longer wait than acceptable to receive an appointment? Disagree	Do you feel that you had a longer wait than acceptable to receive an appointment? Strongly Disagree

Strongly Agree

Agree

Uncertain

Disagree

Strongly Disagree

Do you feel that your Midwife listened carefully to you?

Do you feel that your Midwife listened carefully to you? Strongly Agree

Do you feel that your Midwife listened carefully to you? Agree

Do you feel that your Midwife listened carefully to you? Uncertain

Do you feel that your Midwife listened carefully to you? Disagree

Do you feel that your Midwife listened carefully to you? Strongly Disagree

Do you feel that your culture, beliefs and values were respected?

Do you feel that your culture, beliefs and values were respected? Strongly Agree

Do you feel that your culture, beliefs and values were respected? Agree

Do you feel that your culture, beliefs and values were respected? Uncertain

Do you feel that your culture, beliefs and values were respected? Disagree

Do you feel that your culture, beliefs and values were respected? Strongly Disagree

Do you feel you had the opportunity to discuss your support and care needs?

Do you feel you had the opportunity to discuss your support and care needs? Strongly Agree

Do you feel you had the opportunity to discuss your support and care needs? Agree

Do you feel you had the opportunity to discuss your support and care needs? Uncertain

Do you feel you had the opportunity to discuss your support and care needs? Disagree

Do you feel you had the opportunity to discuss your support and care needs? Strongly Disagree

Do you feel that you were shown respect for how you were feeling?

Do you feel that you were shown respect for how you were feeling? Strongly Agree

Do you feel that you were shown respect for how you were feeling? Agree

Do you feel that you were shown respect for how you were feeling? Uncertain

Do you feel that you were shown respect for how you were feeling? Disagree

Do you feel that you were shown respect for how you were feeling? Strongly Disagree

Do you feel your Midwife explained things to you in a way that was easy to understand?

Do you feel your Midwife explained things to you in a way that was easy to understand? Strongly Agree

Do you feel your Midwife explained things to you in a way that was easy to understand? Agree

Do you feel your Midwife explained things to you in a way that was easy to understand? Uncertain

Do you feel your Midwife explained things to you in a way that was easy to understand? Disagree

Do you feel your Midwife explained things to you in a way that was easy to understand? Strongly Disagree

Would you recommend our Maternal Health service to others?

Would you recommend our Maternal Health service to others? Strongly Agree

Would you recommend our Maternal Health service to others? Agree

Would you recommend our Maternal Health service to others? Uncertain

Would you recommend our Maternal Health service to others? Disagree

Would you recommend our Maternal Health service to others? Strongly Disagree

Would you access CQRH services again if you needed help in the future and were eligible to do so?

Would you access CQRH services again if you needed help in the future and were eligible to do so? Strongly Agree

Would you access CQRH services again if you needed help in the future and were eligible to do so? Agree

Would you access CQRH services again if you needed help in the future and were eligible to do so? Uncertain

Would you access CQRH services again if you needed help in the future and were eligible to do so? Disagree

Would you access CQRH services again if you needed help in the future and were eligible to do so? Strongly Disagree

Do you feel that you had a longer wait than acceptable to receive an appointment?

Do you feel that you had a longer wait than acceptable to receive an appointment? Strongly Agree

Do you feel that you had a longer wait than acceptable to receive an appointment? Agree

Do you feel that you had a longer wait than acceptable to receive an appointment? Uncertain

Do you feel that you had a longer wait than acceptable to receive an appointment? Disagree

Do you feel that you had a longer wait than acceptable to receive an appointment? Strongly Disagree

	Strongly Agree	Agree	Uncertain	Disagree	Strongly Disagree
Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area?	Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Strongly Agree	Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Agree	Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Uncertain	Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Disagree	Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Strongly Disagree
Do you feel that our Midwife improved access to Maternal Health care in your area?	Do you feel that our Midwife improved access to Maternal Health care in your area? Strongly Agree	Do you feel that our Midwife improved access to Maternal Health care in your area? Agree	Do you feel that our Midwife improved access to Maternal Health care in your area? Uncertain	Do you feel that our Midwife improved access to Maternal Health care in your area? Disagree	Do you feel that our Midwife improved access to Maternal Health care in your area? Strongly Disagree
Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself?	Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Strongly Agree	Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Agree	Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Uncertain	Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Disagree	Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Strongly Disagree
Do you feel that our Maternal Health service provided you with a positive health experience?	Do you feel that our Maternal Health service provided you with a positive health experience? Strongly Agree	Do you feel that our Maternal Health service provided you with a positive health experience? Agree	Do you feel that our Maternal Health service provided you with a positive health experience? Uncertain	Do you feel that our Maternal Health service provided you with a positive health experience? Disagree	Do you feel that our Maternal Health service provided you with a positive health experience? Strongly Disagree

Strongly Agree

Agree

Uncertain

Disagree

Strongly Disagree

Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area?

Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Strongly Agree

Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Agree

Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Uncertain

Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Disagree

Do you feel that our Midwife reduced waiting times to receive Maternal Health care in your area? Strongly Disagree

Do you feel that our Midwife improved access to Maternal Health care in your area?

Do you feel that our Midwife improved access to Maternal Health care in your area? Strongly Agree

Do you feel that our Midwife improved access to Maternal Health care in your area? Agree

Do you feel that our Midwife improved access to Maternal Health care in your area? Uncertain

Do you feel that our Midwife improved access to Maternal Health care in your area? Disagree

Do you feel that our Midwife improved access to Maternal Health care in your area? Strongly Disagree

Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself?

Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Strongly Agree

Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Agree

Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Uncertain

Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Disagree

Do you feel that our Maternal Health service has helped reduce the cost of Maternal care to yourself? Strongly Disagree

Do you feel that our Maternal Health service provided you with a positive health experience?

Do you feel that our Maternal Health service provided you with a positive health experience? Strongly Agree

Do you feel that our Maternal Health service provided you with a positive health experience? Agree

Do you feel that our Maternal Health service provided you with a positive health experience? Uncertain

Do you feel that our Maternal Health service provided you with a positive health experience? Disagree

Do you feel that our Maternal Health service provided you with a positive health experience? Strongly Disagree

Very Satisfied

Satisfied

Uncertain

Unsatisfied

Very Unsatisfied

Very Satisfied

Satisfied

Uncertain

Unsatisfied

Very Unsatisfied

CQRH Client Satisfaction Survey - Maternal Services

Thankyou for your feedback

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* 1. Which Midwife | Lactation Conultant did you see with us? (Please Name)

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* 2. How did you hear about our service?

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* 3. Please select the option that you feel accurately reflects your experience:

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* 4. Please select the option that you feel accurately reflects the outcome of the Maternal Health service you received:

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* 5. Overall, how satisfied were you with the service you received?

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* 6. Did you need to travel to another town to receive this Service?

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* 7. If you answered Yes to Question 6, how far did you travel to receive this Service?

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* 8. Do you have any suggestions for how we can improve our services to you?

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* 9. Do you have any other comments, questions, or concerns?