Epworth Priority Endoscopy GP Survey

	Not important at all	Somewhat important	Important	Very Important	Extremely Important
Endoscopy service is located close to your GP Clinic	Endoscopy service is located close to your GP Clinic Not important at all	Endoscopy service is located close to your GP Clinic Somewhat important	Endoscopy service is located close to your GP Clinic Important	Endoscopy service is located close to your GP Clinic Very Important	Endoscopy service is located close to your GP Clinic Extremely Important
Endoscopy service is located close to your patients' homes	Endoscopy service is located close to your patients' homes Not important at all	Endoscopy service is located close to your patients' homes Somewhat important	Endoscopy service is located close to your patients' homes Important	Endoscopy service is located close to your patients' homes Very Important	Endoscopy service is located close to your patients' homes Extremely Important
Endoscopy specialists provide a no gap procedure for your patients	Endoscopy specialists provide a no gap procedure for your patients Not important at all	Endoscopy specialists provide a no gap procedure for your patients Somewhat important	Endoscopy specialists provide a no gap procedure for your patients Important	Endoscopy specialists provide a no gap procedure for your patients Very Important	Endoscopy specialists provide a no gap procedure for your patients Extremely Important
Endoscopy service is located in an acute hospital	Endoscopy service is located in an acute hospital Not important at all	Endoscopy service is located in an acute hospital Somewhat important	Endoscopy service is located in an acute hospital Important	Endoscopy service is located in an acute hospital Very Important	Endoscopy service is located in an acute hospital Extremely Important
Endoscopy service is located in an Epworth HealthCare hospital	Endoscopy service is located in an Epworth HealthCare hospital Not important at all	Endoscopy service is located in an Epworth HealthCare hospital Somewhat important	Endoscopy service is located in an Epworth HealthCare hospital Important	Endoscopy service is located in an Epworth HealthCare hospital Very Important	Endoscopy service is located in an Epworth HealthCare hospital Extremely Important
Endoscopy service is located in a specialist day surgery hospital	Endoscopy service is located in a specialist day surgery hospital Not important at all	Endoscopy service is located in a specialist day surgery hospital Somewhat important	Endoscopy service is located in a specialist day surgery hospital Important	Endoscopy service is located in a specialist day surgery hospital Very Important	Endoscopy service is located in a specialist day surgery hospital Extremely Important
Endoscopy service has earliest available procedure date	Endoscopy service has earliest available procedure date Not important at all	Endoscopy service has earliest available procedure date Somewhat important	Endoscopy service has earliest available procedure date Important	Endoscopy service has earliest available procedure date Very Important	Endoscopy service has earliest available procedure date Extremely Important
Procedure is performed by leading specialists	Procedure is performed by leading specialists Not important at all	Procedure is performed by leading specialists Somewhat important	Procedure is performed by leading specialists Important	Procedure is performed by leading specialists Very Important	Procedure is performed by leading specialists Extremely Important
Procedure is performed using the latest technology	Procedure is performed using the latest technology Not important at all	Procedure is performed using the latest technology Somewhat important	Procedure is performed using the latest technology Important	Procedure is performed using the latest technology Very Important	Procedure is performed using the latest technology Extremely Important
Procedure is performed by a specialist you have referred to in the past	Procedure is performed by a specialist you have referred to in the past Not important at all	Procedure is performed by a specialist you have referred to in the past Somewhat important	Procedure is performed by a specialist you have referred to in the past Important	Procedure is performed by a specialist you have referred to in the past Very Important	Procedure is performed by a specialist you have referred to in the past Extremely Important

Not important at all

Somewhat important

Important

Very Important

Extremely Important

Endoscopy service is located close to your GP Clinic

Endoscopy service is located close to your GP Clinic Not important at all

Endoscopy service is located close to your GP Clinic Somewhat important

Endoscopy service is located close to your GP Clinic Important

Endoscopy service is located close to your GP Clinic Very Important

Endoscopy service is located close to your GP Clinic Extremely Important

Endoscopy service is located close to your patients' homes

Endoscopy service is located close to your patients' homes Not important at all

Endoscopy service is located close to your patients' homes Somewhat important

Endoscopy service is located close to your patients' homes Important

Endoscopy service is located close to your patients' homes Very Important

Endoscopy service is located close to your patients' homes Extremely Important

Endoscopy specialists provide a no gap procedure for your patients

Endoscopy specialists provide a no gap procedure for your patients Not important at all

Endoscopy specialists provide a no gap procedure for your patients Somewhat important

Endoscopy specialists provide a no gap procedure for your patients Important

Endoscopy specialists provide a no gap procedure for your patients Very Important

Endoscopy specialists provide a no gap procedure for your patients Extremely Important

Endoscopy service is located in an acute hospital

Endoscopy service is located in an acute hospital Not important at all

Endoscopy service is located in an acute hospital Somewhat important

Endoscopy service is located in an acute hospital Important

Endoscopy service is located in an acute hospital Very Important

Endoscopy service is located in an acute hospital Extremely Important

Endoscopy service is located in an Epworth HealthCare hospital

Endoscopy service is located in an Epworth HealthCare hospital Not important at all

Endoscopy service is located in an Epworth HealthCare hospital Somewhat important

Endoscopy service is located in an Epworth HealthCare hospital Important

Endoscopy service is located in an Epworth HealthCare hospital Very Important

Endoscopy service is located in an Epworth HealthCare hospital Extremely Important

Endoscopy service is located in a specialist day surgery hospital

Endoscopy service is located in a specialist day surgery hospital Not important at all

Endoscopy service is located in a specialist day surgery hospital Somewhat important

Endoscopy service is located in a specialist day surgery hospital Important

Endoscopy service is located in a specialist day surgery hospital Very Important

Endoscopy service is located in a specialist day surgery hospital Extremely Important

Endoscopy service has earliest available procedure date

Endoscopy service has earliest available procedure date Not important at all

Endoscopy service has earliest available procedure date Somewhat important

Endoscopy service has earliest available procedure date Important

Endoscopy service has earliest available procedure date Very Important

Endoscopy service has earliest available procedure date Extremely Important

Procedure is performed by leading specialists

Procedure is performed by leading specialists Not important at all

Procedure is performed by leading specialists Somewhat important

Procedure is performed by leading specialists Important

Procedure is performed by leading specialists Very Important

Procedure is performed by leading specialists Extremely Important

Procedure is performed using the latest technology

Procedure is performed using the latest technology Not important at all

Procedure is performed using the latest technology Somewhat important

Procedure is performed using the latest technology Important

Procedure is performed using the latest technology Very Important

Procedure is performed using the latest technology Extremely Important

Procedure is performed by a specialist you have referred to in the past

Procedure is performed by a specialist you have referred to in the past Not important at all

Procedure is performed by a specialist you have referred to in the past Somewhat important

Procedure is performed by a specialist you have referred to in the past Important

Procedure is performed by a specialist you have referred to in the past Very Important

Procedure is performed by a specialist you have referred to in the past Extremely Important

Question Title

* 2. How did you hear about Epworth Priority Endoscopy
(Please tick more than one answer if relevant)

Epworth HealthCare GP Continuous Professional Development (CPD) Meeting

Received referral pad and information

Print advertisement

Radio advertisment

Epworth HealthCare website

Have not heard about Epworth Priority Endoscopy

Other (please specify)

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* 3. Have you referred any of your patients to Epworth Priority Endoscopy?

Yes (please go to Question 5)

No (please go to Question 4)

Not yet, but I will (please go to Question 6)

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* 4. If you answere no to the above, please explain why.

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* 5. Please rate your experience of Epworth Priority Endoscopy so far.

	Poor	Fair	Good	Very Good	Excellent	N/A
Referral process	Referral process Poor	Referral process Fair	Referral process Good	Referral process Very Good	Referral process Excellent	Referral process N/A
Booking process	Booking process Poor	Booking process Fair	Booking process Good	Booking process Very Good	Booking process Excellent	Booking process N/A
Post procedure reporting	Post procedure reporting Poor	Post procedure reporting Fair	Post procedure reporting Good	Post procedure reporting Very Good	Post procedure reporting Excellent	Post procedure reporting N/A
Cost	Cost Poor	Cost Fair	Cost Good	Cost Very Good	Cost Excellent	Cost N/A
Location	Location Poor	Location Fair	Location Good	Location Very Good	Location Excellent	Location N/A

If you answered Poor or Fair to any of the above, please suggest improvements and/or list any specific problems you have experienced with Epworth Priority Endoscopy

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* 6. Please indicate below the location (suburb) of your GP Clinic

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* 7. Please indicate the number of years you have been a practising GP

1 to 5 years

6 to 10 years

More than 10 years

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* 8. Have you referred any of your patients to:

	Yes	No
Epworth Cliveden	Epworth Cliveden Yes	Epworth Cliveden No
Epworth Eastern	Epworth Eastern Yes	Epworth Eastern No
Epworth Freemasons	Epworth Freemasons Yes	Epworth Freemasons No
Epworth Rehabilitation	Epworth Rehabilitation Yes	Epworth Rehabilitation No
Epworth Richmond	Epworth Richmond Yes	Epworth Richmond No

Epworth Priority Endoscopy GP Survey

1.

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* 1. Please rate how important the following factors are, when choosing an endoscopy service for your patients

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* 2. How did you hear about Epworth Priority Endoscopy
(Please tick more than one answer if relevant)

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* 3. Have you referred any of your patients to Epworth Priority Endoscopy?

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* 4. If you answere no to the above, please explain why.

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* 5. Please rate your experience of Epworth Priority Endoscopy so far.

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* 6. Please indicate below the location (suburb) of your GP Clinic

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* 7. Please indicate the number of years you have been a practising GP

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* 8. Have you referred any of your patients to:

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* 9. If you have any other suggestions, please include them below. Thank you for completing this survey.

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* 1. Please rate how important the following factors are, when choosing an endoscopy service for your patients

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* 2. How did you hear about Epworth Priority Endoscopy(Please tick more than one answer if relevant)

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* 3. Have you referred any of your patients to Epworth Priority Endoscopy?

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* 4. If you answere no to the above, please explain why.

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* 5. Please rate your experience of Epworth Priority Endoscopy so far.

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* 6. Please indicate below the location (suburb) of your GP Clinic

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* 7. Please indicate the number of years you have been a practising GP

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* 8. Have you referred any of your patients to:

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* 9. If you have any other suggestions, please include them below. Thank you for completing this survey.

* 2. How did you hear about Epworth Priority Endoscopy
(Please tick more than one answer if relevant)