initial thoughts on questionnaire sense在最初的想法感问卷.doc

initial thoughts on questionnaire sense在最初的想法感问卷 Patientsviews Monitorwould like to hearfrom peopleabout theirexperiences ofage-related adult hearing servicesin Englandas partof ourresearch tounderstand whethercurrent arrangementsare workingwell forpatients.Monitor isthe sectorregulator forhealth servicesin England,and ourjob isto makethe healthsector workbetter forpatients.Who arewe seekingviews from?We weleviews frompeople whohave beenreferred bytheir GPto NHS(free)adult hearing services orthose whohave usedfree adult hearing servicesin Englandwithin thepast twoyears.We arenot seekingviews frompeople whohave paidfor theirhearingservicesor hearing aids.People whorespond shouldbe55years ofage ormore.If you are unableto pletethis questionnaire,you mightask arelative,friend orcarer toplete onyour behalf.If you are havingdifficulties inpleting theform orwould preferto talkto someone,please contactus on:02037470000Where shouldI sendmy pletedsurvey?After pletingthe survey,please sendit to:aqpmonitor.uk Ifit iseasier to provide yourresponse inwriting,please returnit to:SurveyChoice inadulthearingservices Co-operation andCompetition DepartmentMonitor3rd FloorWellington House133-155Waterloo RoadLondon SE18UG Weask thatyou respondbyThursday4Septemberxx.We intendto publishthe findingsof ourresearch ina report.Your responsewill betreated asconfidential.The resultsof thissurvey willbe publishedanonymously inour report.2Visiting anadulthearingservice1.Please listthe reasonswhy youvisited a hearing specialistin thepast twoyears.This couldbe anaudiologist,ahearing aid dispenser,or anotherhearing professional.It doesnot includevisiting yourGP oran ear,nose andthroat departmentat thehospital.Please circleallthat applya.For ahearing testb.To chooseand fitmy hearingaid c.For afollow-up appointmentto checkwhether my hearingaidis workingproperly d.To repairor maintainmyhearingaid(egto replace the batteriesor tubing,to clean it,to recalibrateit,etc)e.To findout aboutor aessother supportor equipmentf.Otherplease specify2.Please tellus howmany times(approximately)you havevisited the servicein thepast twoyears:3.Where didyou gofor yourappointments?Please circleallthat applya.Ahospital b.A hearing specialist on the highstreet orlocal shoppingcentre c.Ahearing specialistat yourGP surgeryd.Amunity locationsuch asa libraryor munitycentre3e.Otherplease specify4.If possible,please tellus thename ofthe organisation(s)providing the service and their locationSatisfaction withtheservice5.How wouldyou ratethe servicesreceived?Please circleone optiona.Excellent b.Good c.Satisfactory d.Poor e.Very poor6.Please menton boththe positiveand negativeaspects oftheservice.Aspects youmay wishto considerinclude:a.How longit tookyou toget anappointment b.Convenience ofthe locationc.Convenience ofthe appointmenttime d.Friendliness ofthe staffe.Choice of hearing aidsf.Information andsupport offered47.Are yousatisfied withyour hearingaid?Please circleone optiona.Yes b.No If you arenot satisfied,please tellus whynot:8.Are yousatisfied thatthe serviceshave helpedyou withall aspectsof managingyour hearing loss andmunication?Please circleone optiona.Yes b.No Ifyouarenot satisfied,please tellus whynot:59.Did thehearing specialistshow youhow touse yourhearingaid(eg how to adjustthe volume,how toreplacethebatteries,howtocleanit)?Please circleone optiona.Yes,they gavea thoroughexplanation b.Yes,they explainedsome aspectsc.No,they didnt give any explanationIfyou would liketoprovidefurther details,please usethe spacebelow:10.Did thehearing specialisttell youabout any other servicesthatare availableto supportyou andothers withhearing loss?For example,lip readingclasses,hearing therapyand counselling,local groups,or whereto obtainother equipment(ega flashingsmoke alarm,doorbell,or amplifiedtelephone).Please circleone optiona.Yes b.No11.Before youvisited yourGP andhearing specialistabout yourhearingloss,were youaware thathearing aidsare availablefor freeontheNHS?Please circleoneoptiona.Yes b.No Choiceofhearingspecialist612.Did yourGP offeryoua choice ofhearingspecialistfor yourappointment(s)?Please circleoneoptiona.Yes.GO TOQUESTION13b.No.GO TOQUESTION17c.No,but Iasked forachoiceanyway.GO TOQUESTION1313.How manyhearing specialistscould you choose from?Please circleoneoptiona.two b.three tofour c.fiveor more14.How didyou decidewhich hearingspecialist togo to?Please circleoneoptiona.Remendation fromGP b.Remendation froma friendor familyc.Located closeto homed.Online reviewse.Aleaflet oradvert f.Otherplease specify15.What informationwas availableto helpyouchoosewhich hearingspecialist togo to?Please circleallthat applya.Leaflets aboutthe servicesat yourGP surgeryb.A listof optionsfrom yourGP7c.Information onthe interd.Information providedby acharity e.Otherplease specify16.Was thisinformation easyto findand/or understand?Please circleoneoptiona.Yes b.No Whatother informationwould havebeen useful?SKIP TOQUESTION1817.Would youhave likedto choosewhich hearingspecialist togo to?Please circleoneoptiona.Yes b.No Pleasegiveareason foryour answer.818.Please provideanyotherinformation orviews about your experienceof theseservices thatyouwouldliketoshare:About you19.Please tellus yourhome townandthefirst fourcharacters ofyour postcode:20.Please specifyyour agegroup:Please circleoneoptiona.Under55b.55-69c.70-79d.80or older21.Would