Q10. Are you? Q11. Do you identify as being of Aboriginal and/or Torres Strait Islander descent? Male Female Yes No 1 2 1 2 Q12. Have you been to another general Q13. Which languages do you speak at home? practice in the last year? Tick all spoken English 1 Yes No 1 2 Q14. What is your age? Arabic 2 15 24 years Cantonese – 1 3 25 44 years Mandarin – 2 4 45 64 years Vietnamese – 3 5 65 years or over 4 6 Don’t wish to say 5 7 Q15. How long have you been coming to this 8 practice? Q16. Do you have any of concession cards? Less than 1 year 1 1 2 years Health Care Card – 2 1 3 years or more Pensioner Concession Card 3 2
Q10. Are you? Q11. Do you identify as being of Aboriginal and/or Torres Strait Islander descent? 1 Male 2 Female 1 Yes 2 No Q12. Have you been to another general practice in the last year? Q13. Which languages do you speak at home? Tick all spoken 1 Yes 2 No 1 English Q14. What is your age? 2 Arabic 1 15 – 24 years 3 Cantonese 2 25 – 44 years 4 Mandarin 3 45 – 64 years 5 Vietnamese 4 65 years or over 6 5 Don’t wish to say 7 Q15. How long have you been coming to this practice? 8 1 Less than 1 year Q16. Do you have any of concession cards? 2 1 – 2 years 1 Health Care Card 2 Pensioner Concession Card 3 3 years or more
Patient-Feedback-Guide.docx