Liver condition healthcare since COVID-19 – share your experience
1.
How old are you?
18 – 24
25 – 34
35 – 44
45 – 54
55 – 64
65 – 74
74+
2.
How do you identify your gender?
Male
Female
Other
Prefer not to answer
3.
What is your residential postcode?
4.
Do you identify as Aboriginal or Torres Strait Islander?
Yes
No
Both
Prefer not to say
5.
Have you ever been diagnosed with any of the following?
Non-alcoholic fatty liver disease
Alcohol related liver disease
Fibrosis
Cirrhosis
Hepatitis B
Hepatitis C
Haemochromatosis
Autoimmune liver disease
Cancer
Liver Transplant
None of the above
Other (please specify)
6.
Was your access to liver health care or management of your condition affected by restrictions associated with the COVID-19 pandemic?
No
Yes
If yes, how?
7.
Did your access to liver health care or management of your condition change over time during the restrictions associated with the COVID-19 pandemic?
No
Yes
If yes, how?
8.
Have you had any appointments cancelled or deferred during restrictions?
No
Yes
If yes, has anyone contacted you to reschedule? Please comment
9.
During restrictions associated with the COVID-19 pandemic, do you think your alcohol, drug intake, or any other healthy lifestyle factors changed?
No
Yes
If yes, how?
10.
Since restrictions have eased, has your liver condition management returned to normal?
No
Yes
If yes, how?
11.
What could your clinic, doctor, nurse, or community services done differently to have supported you during the COVID-19 pandemic.
12.
How did you become aware of this survey?
Hepatitis Victoria Website
HEPChat
e-bulletin
Facebook
Health Provider referral
Other (please specify)
13.
Would you be happy to be contacted for further consultation?
No
Yes
How? (please specify)
