Immunisation Clinic Survey Question Title * 1. What is your postcode? Question Title * 2. What is your gender? Female Male Question Title * 3. Please indicate which age groups you are in. 16-21 22-25 26-29 30-39 40 and over Question Title * 4. What is your cultural background? Question Title * 5. Have you attended Immunisation Clinic? Yes No Question Title * 6. Please indicate your response to this statement. It is important for me to access this immunisation service. Strongly Agree Agree Don't Know Disagree Strongly Disagree Question Title * 7. How did you find out about the Immunisation Clinic? (You may indicate more than one answer) Early childhood centre Internet search Ku-ring-gai website Mothers group/ Play group Other (please specify) Question Title * 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. Strongly Agree Agree Don't Know Disagree Strongly Disagree Question Title * 9. Please rate the overall experience of having your child/ children immunised at the Ku-ring-gai's Immunisation Clinic. Extremely satisfied Very satisfied Satisfied Dissatisfied Extremely dissatisfied Question Title * 10. Please indicate the main reasons why you are attending the Ku-ring-gai's Immunisation Clinic. Convenient location Session times fit in with my child's daily schedule Good communication and service from Clinic staff Injections are given to my child simultaneously by the nurses Immunisation nurses are competent and caring professionals Reminder letters and record keeping Sharing experiences with other parents at clinic Cost factor Other (please specify) Question Title * 11. We appreciate your feedback. Please suggest any way you think we can improve on our service. Done