Second Psychiatric Opinion Service Evaluation and Feedback Survey

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.)	Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Strongly Disagree	Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Disagree	Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Neutral	Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Agree	Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Strongly Agree	Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) N/A
I was able to access an appointment easily	I was able to access an appointment easily Strongly Disagree	I was able to access an appointment easily Disagree	I was able to access an appointment easily Neutral	I was able to access an appointment easily Agree	I was able to access an appointment easily Strongly Agree	I was able to access an appointment easily N/A
I was given an appointment time quickly	I was given an appointment time quickly Strongly Disagree	I was given an appointment time quickly Disagree	I was given an appointment time quickly Neutral	I was given an appointment time quickly Agree	I was given an appointment time quickly Strongly Agree	I was given an appointment time quickly N/A
I did not have to wait long for my appointment	I did not have to wait long for my appointment Strongly Disagree	I did not have to wait long for my appointment Disagree	I did not have to wait long for my appointment Neutral	I did not have to wait long for my appointment Agree	I did not have to wait long for my appointment Strongly Agree	I did not have to wait long for my appointment N/A
I would have preferred a different location for my appointment	I would have preferred a different location for my appointment Strongly Disagree	I would have preferred a different location for my appointment Disagree	I would have preferred a different location for my appointment Neutral	I would have preferred a different location for my appointment Agree	I would have preferred a different location for my appointment Strongly Agree	I would have preferred a different location for my appointment N/A

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

N/A

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.)

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Strongly Disagree

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Disagree

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Neutral

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Agree

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) Strongly Agree

Information about SPOS was readily available (i.e., how to contact the service, how the service works, who would be contacting me, who the clinicians would need to talk to, etc.) N/A

I was able to access an appointment easily

I was able to access an appointment easily Strongly Disagree

I was able to access an appointment easily Disagree

I was able to access an appointment easily Neutral

I was able to access an appointment easily Agree

I was able to access an appointment easily Strongly Agree

I was able to access an appointment easily N/A

I was given an appointment time quickly

I was given an appointment time quickly Strongly Disagree

I was given an appointment time quickly Disagree

I was given an appointment time quickly Neutral

I was given an appointment time quickly Agree

I was given an appointment time quickly Strongly Agree

I was given an appointment time quickly N/A

I did not have to wait long for my appointment

I did not have to wait long for my appointment Strongly Disagree

I did not have to wait long for my appointment Disagree

I did not have to wait long for my appointment Neutral

I did not have to wait long for my appointment Agree

I did not have to wait long for my appointment Strongly Agree

I did not have to wait long for my appointment N/A

I would have preferred a different location for my appointment

I would have preferred a different location for my appointment Strongly Disagree

I would have preferred a different location for my appointment Disagree

I would have preferred a different location for my appointment Neutral

I would have preferred a different location for my appointment Agree

I would have preferred a different location for my appointment Strongly Agree

I would have preferred a different location for my appointment N/A

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
I was able to talk to the psychiatrist freely	I was able to talk to the psychiatrist freely Strongly Disagree	I was able to talk to the psychiatrist freely Disagree	I was able to talk to the psychiatrist freely Neutral	I was able to talk to the psychiatrist freely Agree	I was able to talk to the psychiatrist freely Strongly Agree	I was able to talk to the psychiatrist freely N/A
I felt listened to by the psychiatrist	I felt listened to by the psychiatrist Strongly Disagree	I felt listened to by the psychiatrist Disagree	I felt listened to by the psychiatrist Neutral	I felt listened to by the psychiatrist Agree	I felt listened to by the psychiatrist Strongly Agree	I felt listened to by the psychiatrist N/A

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

N/A

I was able to talk to the psychiatrist freely

I was able to talk to the psychiatrist freely Strongly Disagree

I was able to talk to the psychiatrist freely Disagree

I was able to talk to the psychiatrist freely Neutral

I was able to talk to the psychiatrist freely Agree

I was able to talk to the psychiatrist freely Strongly Agree

I was able to talk to the psychiatrist freely N/A

I felt listened to by the psychiatrist

I felt listened to by the psychiatrist Strongly Disagree

I felt listened to by the psychiatrist Disagree

I felt listened to by the psychiatrist Neutral

I felt listened to by the psychiatrist Agree

I felt listened to by the psychiatrist Strongly Agree

I felt listened to by the psychiatrist N/A

	Poor	Fair	Good	Very Good	Excellent	N/A
If seen face to face, how convenient was the location where you were seen?	If seen face to face, how convenient was the location where you were seen? Poor	If seen face to face, how convenient was the location where you were seen? Fair	If seen face to face, how convenient was the location where you were seen? Good	If seen face to face, how convenient was the location where you were seen? Very Good	If seen face to face, how convenient was the location where you were seen? Excellent	If seen face to face, how convenient was the location where you were seen? N/A
If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)?	If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Poor	If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Fair	If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Good	If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Very Good	If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Excellent	If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? N/A

Poor

Fair

Good

Very Good

Excellent

N/A

If seen face to face, how convenient was the location where you were seen?

If seen face to face, how convenient was the location where you were seen? Poor

If seen face to face, how convenient was the location where you were seen? Fair

If seen face to face, how convenient was the location where you were seen? Good

If seen face to face, how convenient was the location where you were seen? Very Good

If seen face to face, how convenient was the location where you were seen? Excellent

If seen face to face, how convenient was the location where you were seen? N/A

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)?

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Poor

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Fair

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Good

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Very Good

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? Excellent

If seen via Video Call, how was the experience (such as convenience, quality of the image and sound, etc.)? N/A

Question Title

* 4. My overall satisfaction with the SPOS service so far is:

Very Unsatisfied

Unsatisfied

Neutral

Satisfied

Very Satisfied

Very Unsatisfied

Unsatisfied

Neutral

Satisfied

Very Satisfied

Question Title

* 5. Are there things we can do to improve the SPOS service?

Question Title

* 6. Any Other feedback?

Want to speak to someone instead?

If you would like to provide feedback about, or discuss your experience with the Second Psychiatric Opinion Service, please contact, the Second Psychiatric Opinion Service Clinical Coordinator on 1300 503 426.

To make a complaint
If you have not received a response within 30 days or you are unsatisfied with the outcome of your feedback, you can contact the Clinical Coordinator on 1300 503 426.

If you are still unsatisfied or as an alternative, please contact:

The Mental Health Complaints Commissioner
Free call: 1800 246 054

Postal address: Level 26, 570 Bourke Street, Melbourne, VIC 3000

Email: help@mhcc.vic.gov.au

Question Title

* 7.

Would you like a response to your feedback or evaluation form?

Yes

Question Title

* 8. If yes, please provide your name and preferred contact method below

Name

Address

Email Address

Phone Number

Second Psychiatric Opinion Service Evaluation and Feedback

Question Title

* 1. The following questions are about your experience accessing and organizing your appointment. Please note that SPOS is Second Psychiatric Opinion Service

Question Title

* 2. The following questions are about your experience with the SPOS appointment

Question Title

* 3. The following questions are about your experience with the SPOS appointment

Question Title

* 4. My overall satisfaction with the SPOS service so far is:

Question Title

* 5. Are there things we can do to improve the SPOS service?

Question Title

* 6. Any Other feedback?

Question Title

* 7.

Would you like a response to your feedback or evaluation form?

Question Title

* 8. If yes, please provide your name and preferred contact method below

Second Psychiatric Opinion Service Evaluation and Feedback

Question Title

* 1. The following questions are about your experience accessing and organizing your appointment. Please note that SPOS is Second Psychiatric Opinion Service

Question Title

* 2. The following questions are about your experience with the SPOS appointment

Question Title

* 3. The following questions are about your experience with the SPOS appointment

Question Title

* 4. My overall satisfaction with the SPOS service so far is:

Question Title

* 5. Are there things we can do to improve the SPOS service?

Question Title

* 6. Any Other feedback?

Question Title

* 7. Would you like a response to your feedback or evaluation form?

Question Title

* 8. If yes, please provide your name and preferred contact method below

* 7.

Would you like a response to your feedback or evaluation form?