Please assist us in gathering information from the Newcastle and surrounding communities. Would Northern Natal, the Eastern Free State and Southern Mpumalanga benefit from a Specialist Hospital in Newcastle? Share your thoughts with us and send the survey on to others please!

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* 1. Have you been referred to another city for medical treatment in the last 18 months from Newcastle?

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* 2. Where were you sent?

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* 3. Who sent you e.g. GP, Emergency Services, Hospital?

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* 4. Why were you sent?

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* 5. Would you support a Specialist Hospital in Newcastle?

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* 6. On a scale of 0 to 10, where 0 is completely unnecessary and 10 is critically necessary please rate the need for a specialist hospital in Newcastle?

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* 7. On a scale of 0 to 10, where 0 is not at all urgent and 10 is critically urgent, please rate the urgency of need for Specialist Medical Facility in Newcastle.

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* 8. Where do you live?

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* 9. Please indicate which town?

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* 10. What age category do you belong to?

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* 11. Gender

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* 12. What is your highest level of education?

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* 13. Do you have any comments you would like to express?

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* 14. Please give us your name. This is purely for data verification and to ensure no duplication. Your name will never be revealed to any party outside of The Survey Workshop.

Thank you for taking the time to complete this survey. Please note that POPI is applicable to all research conducted by The Survey Workshop and as an Independent Member of SAMRA we are governed by strict rules ensuring that your data is not used for any other purpose such as marketing. We thank you for your honest feedback and your time.

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