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Outpatients Appointment Survey

You are being invited to take part in a project which is looking at communication between patients and health care professionals. Your feedback will tell us where we need to make improvements.

You do not have to take part, and if you chose not to it will not affect your care.

We do not ask for any personal information from you, such as your name or address. We can’t find out who you are from the answers that you give.

We may use the answers that you give when publishing the results of our project.

1. Which clinic did you visit?

2. I understand the next steps in my treatment plan.

3. I was given the chance to ask questions.

4. Did you ask any questions about your care?

5. My questions were answered in a way that I understand.

6. I didn't ask any question because

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7. How satisfied were you with the information given to you in your appointment on a scale of 1 to 5?

(5 being highest and 1 being lowest)

8. Did you book an interpreter for your appointment?

9. Which type of interpreter service was used during your appointment?

10. How would you rate the quality of communication between you and your healthcare provider with the help of the interpreter on a scale of 1 to 5?

(5 being highest and 1 being lowest)

11. Do you have any suggestions or comments about It's Ok to Ask?

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