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* 1. What is your postcode?

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* 2. What is your gender?

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* 3. Please indicate which age group you are in.

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* 4. What is your cultural background?

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* 5. Have you attended the Immunisation Clinic?

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* 6. Please indicate your response to this statement.

It is important for me to access this immunisation service.

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* 7. How did you find out about the Immunisation Clinic? (You may indicate more than one answer)

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* 8. Please indicate your response to this statement.

I have attended the Immunisation Clinic and I will bring my child / children back to the Council service for future immunisations.

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* 9. Please rate the overall experience of having your child/children immunised at the North Sydney Council's Immunisation Clinic.

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* 10. Please indicate the main reasons why you are attending the North Sydney Council's Immunisation Clinic. (You may indicate more than one answer)

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* 11. We appreciate your feedback. Please suggest any way you think we can improve on our service.

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