Referrer Satisfaction Survey Question Title * 1. Please select your role: General Practitioner (GP) School Counsellor Community Mental Health Service Community Based Organisation Other (please specify) OK Question Title * 2. Please select the primary reason for your referral: Mental Health Support Focused Psychological Intervention Alcohol & Other Drug Support Physical Health Support Vocation or Education Support Groups Other (please specify) OK Question Title * 3. How satisfied were you with our initial response time to your referral? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 4. How satisfied were you with the quality of information provided to you following the referral? (i.e. wait-times, assessment process, decision on referral acceptance) Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 5. If the person who was referred was offered an initial appointment, how satisfied were you with the availability? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Not applicable OK Question Title * 6. Overall, how satisfied were you with the way we managed your referral? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 7. We welcome any suggestions to improve our referral process: OK DONE