Psychology Perspective BOMH ATAPS

Purpose of this questionnaire

Central Coast Primary Care has some funding to assist General Practitioners (GP’s) and Allied Health Professionals (AHP) in providing and improving mental health support.

In order to make this experience as positive as possible, we are seeking feedback from clients who have been referred by their GP to an AHP. The AHP you have been referred to may be a Psychologist, Social Worker, Occupational Therapist or Credentialed Mental Health Nurse.

Completing this questionnaire is voluntary and will not alter the care you receive. All responses are kept confidential by Central Coast Primary Care and will only be used for evaluation purposes to improve the service or to provide information to funding bodies as required.

Home Start

Statement #1

Statement 1

I felt satisfied with the communication between my General Practitioner (GP) and my Allied Health Professional (AHP).

Response

Back

Statement #2

Statement 2

I am satisfied with the times my AHP was available to see me.

Response

Back

Statement #3

Statement 3

I am satisfied that each session I received was approximately 50 minutes in length.

Response

Back

Statement #4

Statement 4

How many sessions did you attend?

Response

Back

Statement #5

Statement 5

My GP has been informed about the service I received from my AHP.

Response

Back

Statement #6

Statement 6

My privacy and confidentiality were respected at all times.

Response

Back

Statement #7

Statement 7

The location of my AHP was satisfactory.

Response

Back

Statement #8

Statement 8

Were you required to pay a fee for the services provided by your AHP?

Response
$

Back

Statement #9

Statement 9

If you had not been referred by your GP under this program, would you have been able to see an AHP?

Response

Back

Statement #10

Statement 10

I would see the AHP again.

Response

Back

Statement #11

Statement 11

I feel equipped to deal with the issues without further professional help.

Response

Back

Statement #12

Statement 12

Think about the week before you were referred to the AHP. How would you have rated your overall emotional/mental status in that week?

Please indicate on the scale from 0 to 10, where 0 is the worst you have felt and 10 is the best you have felt.
Response

Back

Statement #13

Statement 13

How would you rate your overall emotional/mental status following the sessions with the AHP?

Please indicate on the scale from 1 to 10, where 0 is the worst you have felt and 10 is the best you have felt.
Response

Back

Statement #14

Statement 14

If you would like to provide feedback on any aspect of the service or have any additional comments, please list below.

Response

Back

Thank you for taking the time to complete this questionnaire..!

All done!
Please return this device to a staff member.

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