Other (specify) 77 [go to P31] DEPSTXO ✍ What is the name and daily dosage of the Name Dose Duration DEPSRX1 1. medication(s) provided by [all specialists named above]? 2. DEPSRX2 How long were you taking this medication? [Ask to see 3. prescriptions if literacy/recall is poor] DEPSRX3 4. know 888 Don’t Did you complete the full recommended course of No 0 treatment? Yes 1 know 888 Don’t Are you still seeing No 0 [any specialists named above]? Yes 1 How much has the treatment helped you? A lot 1 Some 2 A little 3 Not at all 4 know 888 Don’t How satisfied are you with the treatments and services Very satisfied 1 DEPSSAT you received from in the past Satisfied 2 [all specialists named above] 12 months? Neither satisfied or 3 dissatisfied Dissatisfied 4 Very dissatisfied 5 know 888 Don’t [If interviewee saw any generalist in P26 go to P35] [If interviewee did not see any generalist in P26 go to suicidal ideation section] Generalist depression care DEPGVISIT How many visits did you make in the past 12 months to the [all generalists named above]? DEPGMINS How many minutes did these visits last on average? Medication 1 DEPGTX What was the nature of the treatment provided by the Counselling 2 [all generalists named above]? [go to P39]
DEPSTXO Other (specify) [go to P31] ✍ 77 What is the name and daily dosage of the medication(s) provided by [all specialists named above]? How long were you taking this medication? [Ask to see prescriptions if literacy/recall is poor] Name Dose Duration DEPSRX1 DEPSRX2 DEPSRX3 1. 2. 3. 4. Don’t know 888 Did you complete the full recommended course of treatment? No 0 Yes 1 Don’t know 888 Are you still seeing [any specialists named above]? No 0 Yes 1 How much has the treatment helped you? A lot 1 Some 2 A little 3 Not at all 4 Don’t know 888 How satisfied are you with the treatments and services you received from [all specialists named above] in the past 12 months? Very satisfied 1 DEPSSAT Satisfied 2 Neither satisfied or dissatisfied 3 Dissatisfied 4 Very dissatisfied 5 Don’t know 888 [If interviewee saw any generalist in P26 go to P35] [If interviewee did not see any generalist in P26 go to suicidal ideation section] Generalist depression care How many visits did you make in the past 12 months to the [all generalists named above]? DEPGVISIT How many minutes did these visits last on average? DEPGMINS What was the nature of the treatment provided by the [all generalists named above]? Medication 1 DEPGTX Counselling [go to P39] 2
PRIME%20Community%20Survey%20Questionnaire_FINAL.docx