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Central Queensland Health website
Gladstone AODS Client Satisfaction Survey
Page 1 of 3
Closes
10 Mar 2036
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Page 1
1. Section 1: About You
(Required)
15 years and under
16-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
• 75+ years
• Prefer not to say
2. Gender
(Required)
Male
Female
Intersex
Non-binary
Transgender
I use another term
Prefer not to say
3. Are you Aboriginal or Torres Strait Islander origin
(Required)
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander
Prefer not to say
4. Are you of South Sea Islander origin
(Required)
No
Yes
Prefer not to say
5. How did you attend your appointment
(Required)
In-person / face-to-face
Telephone
Video conference
6. During my contact with this treatment
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
I am satisfied with the care/help I received
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
I was treated with dignity and respect
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
The staff helped to motivate me to make changes
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
I got the help I wanted
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
The staff explained things to me in a way I understood
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
I would recommend this service to a friend or family member
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
7. Is there anything else you would like to tell us?
Clients Feedback
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