1. Overall, how was your experience of our service?

Very good Good Neither good nor poor Poor Very poor Don't know

2. We'd like more information about the care you've received - would you like to answer some more questions?

Yes No

3. Were you treated with kindness, dignity, respect and compassion while you received care and treatment?

Yes, definitely Yes, to some extent No

4. What type of appointment did you have?

I had a phone appointment I had a video appointment It was an in-person appointment

5. How long after the stated appointment time did the appointment / call start?

I was seen on time or early Waited up to 30 minutes Waited 31 - 60 minutes Waited more than one hour but no more than 2 hours Waited more than 2 hours Don't know / Can't remember

6. How long after the stated appointment time did the appointment start?

I was seen on time or early Waited up to 30 minutes Waited 31 - 60 minutes Waited more than one hour but no more than 2 hours Waited more than 2 hours Don't know / Can't remember

7. At your appointment today, were you informed about any clinic delays?

Yes, but the wait was shorter Yes, and I had to wait about as long as I was told Yes, but the wait was longer No, I was not told Don't know / Can't remember

8. In your opinion, how clean was the clinic/department?

Very clean Fairly clean Not very clean Not at all clean Can't say

9. Was there a seat available for you in the waiting room?

Yes No This doesn't apply to me