Please state the clinic location where you had your appointment:

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* 1. Please state the clinic location where you had your appointment:

Please state your age:

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* 2. Please state your age:

Please rate our services from 1 to 10, by choosing one number for each question.
1 = Poor        10 = Outstanding
Following your Doctor's referral for hearing tests, how would you rate the waiting time before receiving your first appointment from the Audiology clinic?

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* 3. Following your Doctor's referral for hearing tests, how would you rate the waiting time before receiving your first appointment from the Audiology clinic?

How would you rate the information provided prior to your first appointment?

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* 4. How would you rate the information provided prior to your first appointment?

Did the Audiologist confirm your ID and take your consent prior to your appointment commencing? If yes, how would you rate this?

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* 5. Did the Audiologist confirm your ID and take your consent prior to your appointment commencing? If yes, how would you rate this?

How would you rate the Audiologist's communication throughout your appointment?

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* 6. How would you rate the Audiologist's communication throughout your appointment?

Did the staff treat you with care, respect and courtesy?

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* 7. Did the staff treat you with care, respect and courtesy?

Did you feel that you could discuss things in confidence? If yes, how would you rate this?

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* 8. Did you feel that you could discuss things in confidence? If yes, how would you rate this?

Prior to your hearing test, did the Audiologist provide clear instructions and explain about the test? If yes, how would you rate this?

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* 9. Prior to your hearing test, did the Audiologist provide clear instructions and explain about the test? If yes, how would you rate this?

Did the staff explain the results of the tests clearly to you? If yes, how would you rate this?

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* 10. Did the staff explain the results of the tests clearly to you? If yes, how would you rate this?

How would you rate the information provided about your hearing aids (other treatment or therapy) and recommendations?

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* 11. How would you rate the information provided about your hearing aids (other treatment or therapy) and recommendations?

Following your appointment, did the Audiologist cover all your questions and concerns? Please rate this.

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* 12. Following your appointment, did the Audiologist cover all your questions and concerns? Please rate this.

How would you rate the printed information provided, following your hearing aid fitting?

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* 13. How would you rate the printed information provided, following your hearing aid fitting?

How would you rate your follow up appointment - either at the Audiology clinic or over the telephone?

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* 14. How would you rate your follow up appointment - either at the Audiology clinic or over the telephone?

How easy has it been to contact SHC Audiology?

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* 15. How easy has it been to contact SHC Audiology?

How helpful have you found your hearing aids (other treatment or therapy)?

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* 16. How helpful have you found your hearing aids (other treatment or therapy)?

If you have any comments, suggestions or complaints about our Audiology Service, please state below:

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* 17. If you have any comments, suggestions or complaints about our Audiology Service, please state below:

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