ths ago
15. How frequently do you visit your dentist?
□ Every 6 months □ When I need to
□ Every year □ Never visited
□ Less than once a year □ Other, please specify
_______________________________
44
16. To what extent do you agree with the following statements? If you need an interpreter, please
answer these questions as if your interpreter was present.
Strongly
disagree Disagree
Neither
agree
nor
disagree
Agree Strongly
agree
It is easy to make an appointment □ □ □ □ □
The time I have to wait between needing to
see my dentist to actually seeing my
dentist is acceptable
□ □ □ □ □
My dentist is approachable □ □ □ □ □
My dentist listens to my questions and
concerns
□ □ □ □ □
My dentist understands my questions and
concerns □ □ □ □ □
My dentist explains my condition to me in
detail
□ □ □ □ □
I understand when my dentist answers my
questions and concerns
□ □ □ □ □
I have confidence in my dentist □ □ □ □ □
Hospital services
Accident & Emergency
17. Have you used the Accident & Emergency department before, whether as a patient or
accompanying a patient?
□ Yes □ No
18. If yes, to what extent would you agree with the following statements based on your last
experience?
Strongly
disagree Disagree
Neither
agree
nor
disagree
Agree Strongly
agree
The process of getting to A&E and seeing
a doctor was easy □ □ □ □ □
The time I had to wait between arriving at
A&E to being seen was acceptable
□ □ □ □ □
The medical professionals were
approachable □ □ □ □ □
The medical professionals listened to my
questions and concerns
□ □ □ □ □
The medical professionals understood my
questions and concerns □ □ □ □ □
The medical professionals explained my
condition to me in detail
□ □ □ □ □
I understood the medical professionals’
answers to my questions and concerns
□ □ □ □ □
I had confidence in them □ □ □ □ □
45
Ambulance service
19. Have you used an ambulance before, whether as a patient or accompanying a patient?
□ Yes □ No
20. If yes, to what extent would you agree with the following statements based on your last
experience?
Strongly
disagree Disagree
Neither
agree
nor
disagree
Agree Strongly
agree
Making the call for an ambulance was
easy □ □ □ □ □
The time I had to wait between calling to
actually arriving at hospital was acceptable
□ □ □ □ □
The paramedics were approachable □ □ □ □ □
The paramedics listened to me □ □ □ □ □
The paramedics understood what I said □ □ □ □ □
The paramedics explained the situation to
me
□ □ □ □ □
I understood what the paramedics said □ □ □ □ □
I had confidence in the paramedics □ □ □ □ □
Outpatient services – hospital services where you do not have to stay overnight
21. Have you used outpatient services before?
□ Yes □ No
22. If yes, to what extent would you agree with the following statements based on your last
experience?
Strongly
disagree Disagree
Neither
agree
nor
disagree
Agree Strongly
agree
The process of getting to the right
department and seeing a doctor/nurse was
easy
□ □ □ □ □
The time I had to wait between being
referred to utilising the service was
acceptable
□ □ □ □ □
The medical professionals were
approachable □ □ □ □ □
The medical professionals listened
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