Q8. Thinking about your experience with the general practice over the past year Please rate each statement Very Don’t Statements Poor Good Fair Excellent N/A good Know a. 1 2 3 4 5 6 7 b. 1 2 3 4 5 6 7 c. 1 2 3 4 5 6 7 d. 1 2 3 4 5 6 7 e. 1 2 3 4 5 6 7 N/A = Not applicable Q9. If you could change on thing about the practice, what would you change? Please rate each statement Please your ideas below: Some things you Q11. Do you consider yourself to be of Aboriginal and/or Torres Strait Q10. Are you? Islander descent? Male Female Yes No 1 2 1 2 Q12. Have you been to another general Q13. Which languages do you speak practice in the last year? at home? Tick all spoken Yes No English 1 2 1 Q14. What is your age? Arabic 2 15 24 years Cantonese – 1 3 25 44 years Mandarin – 2 4
Q8. Thinking about your experience with the general practice over the past year Please rate each statement Statements Poor Good Fair Very good Excellent N/A Don’t Know a. 1 2 3 4 5 6 7 b. 1 2 3 4 5 6 7 c. 1 2 3 4 5 6 7 d. 1 2 3 4 5 6 7 e. 1 2 3 4 5 6 7 N/A = Not applicable Q9. If you could change on thing about the practice, what would you change? Please rate each statement Please your ideas below: Some things you Q10. Are you? Q11. Do you consider yourself to be 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
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