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d confidence in them □ □ □ □ □
29. Do you have any comments/suggestions about any of the services mentioned above or any other
services that have not been mentioned?
30. Do you have any health needs that you feel are not provided for by the NHS?
Your health
31. Over the past year, would you say your health has on the whole been:
□ Good? □ Fairly good? □ Not good?
32. Do you have any long-term illness or disability which limits your daily activities or the work you
can do?
□ Yes □ No
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33. Do you suffer from or have you in the past year suffered from any of the following conditions?
□ Diabetes □ Asthma □ Depression/anxiety
□ Glaucoma □ Hayfever □ Post-natal depression
□ Cataract □ Tuberculosis □ Cancer
□ High blood pressure
□ Heart disease
□ Rheumatoid/arthritic
conditions
□ Any form of anaemia
□ Psoriasis
□ Obesity □ Hepatitis □ Epilepsy
□ Stroke □ HIV/AIDS □ Indigestion
□ Gout □ Goitre □ Other, please specify
______________________
34. If you have ticked any of the above boxes, did you receive/are you receiving medication or
treatment for the condition?
□ Yes □ No
35. Who provided/s this treatment?
□ NHS □ Private Western □ Private Traditional Chinese
□ Private Traditional Chinese
and NHS
□ Private Western and NHS
□ Other, please specify
________________________
36. Were/are you satisfied with the medication/ treatment you received/are receiving?
□ Completely
satisfied
□ Satisfied □ Neither
satisfied nor
dissatisfied
□ Dissatisfied □ Completely
dissatisfied
37. Were/are you satisfied with the outcome of the treatment you received/are receiving?
□ Completely
satisfied
□ Satisfied □ Neither
satisfied nor
dissatisfied
□ Dissatisfied □ Completely
dissatisfied
38. Do you have any comments about any aspects of your illness or the healthcare you have
received?
Health information and prevention
39. How do you find information related to health and health services when you need it?
□ Ask my GP □ Go to the library
□ Ask friends/family □ Use the internet
□ Use Chinese media like newspapers, Chinese
satellite channels
□ Other, please specify__________________
40. Would you find the following resources/services useful? Please tick only 3 options.
□ Leaflets written in Chinese □ Health talks given in Chinese
□ Videos in Chinese □ Counselling in Chinese
□ Audio tapes in Chinese □ Chinese-language helpline
□ Health fairs/exhibitions □ Other, please specify__________________
□ Chinese language website
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41. Do you use or have you in the past year used any of the following health prevention measures?
□ NHS Smoking cessation service □ Over-the-counter stop-smoking remedies
□ Attended exercise classes □ Taken part in regular exercise
□ Changed your diet to make it more healthy □ No, I already live a healthy lifestyle
□ No, I do not have time
42. Would you like to find out more about living healthily?
□ Yes □ No
If yes, what would you like to know more about?
Personal details
43. Are you
□ Male? □ Female?
44. Are you
□ 15 and under? □ 65-74?
□ 16-34? □ 75 and over?
□ 35-64?
45. What is your employment status?
□ Full-time employed □ Retired
□ Part-time employed □ Full-time student
□ Self-employed □ Looking after home/family
If employed, please state occupation □ Permanently sick/disabled
___________