Patient-reported experience measure: Primary care

Your healthcare provider invites you to say what matters to you. These questions ask you to rate your experience of care.

The answers you provide will not be visible to your healthcare providers individually; however
non-identifiable data may be used for future planning, safety and quality improvements, research projects approved by a Human Research Ethics Committee or application for funding.

Participation is voluntary. You can stop taking part at any time without impact to your current or future healthcare.

Please select (tick) one of the following responses for each question: Strongly agree, Agree, Neutral, Disagree, Strongly disagree or Not applicable.

Domain	Questions	Strongly agree	Agree	Neutral	Disagree	Strongly disagree	Not applicable
Making and attending appointment	I was satisfied with my experience making an appointment (Consider how long it took to get an appointment, ease of making an appointment, whether you could see your clinician of choice, etc.)
My needs were considered by Reception staff (Consider were they welcoming, let you know about delays, etc.)
Health professional's attitude and behaviour	My health professional was kind and caring
My health professional listened to my concerns
My health professional understood my situation
I felt supported by my health professional
Health professional's ability to address patient needs	My concerns were addressed
My healthcare needs were met
Receiving clear information	I got enough information about my condition or treatment
The purpose of tests was clearly explained
The details of treatments were clearly explained
I understood what I needed to do after the consultation
Health professional's communication	The health professional explained things in a way I could understand
The health professional checked if I understood the information
The health professional asked if I had any questions
I was given a clear summary of what to do after the consultation
Patient involvement in decision making	I felt comfortable asking questions
I got enough information to make a decision about my treatment
Multidisciplinary care	The purpose of referrals to other health professionals was explained (Consider how your health professionals work together, etc.)
Privacy and confidentiality practices	My privacy was respected during my healthcare visit (Consider the privacy of your health information, consent etc.) The consultation was conducted in a private space

Patient demographics

Tick the answer that is most appropriate to you.

Some things about you	Response options	Answer
What is your age?	15– 24 years
25–44 years
45–64 years
65 years and over
Prefer not to say
How do you describe your gender?	Male/man
Female/woman
Non-binary
I use a different term (please specify)
Prefer not to answer
Do you identify as Aboriginal and/or Torres Strait Islander?	No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander
Prefer not to say
Which languages do you speak at home? Select all that apply	English
Arabic
Cantonese
Greek
Hindi
Italian
Korean
Macedonian
Mandarin
Serbian
Spanish
Vietnamese
Other
Was this visit for yourself or someone you are caring for?	Self
Someone else
How long have you been coming to this practice?	Less than 1 year
1–2 years
3 years or more
Not sure
How many times have you visited this practice over the past 12 months?	Only this visit
2–5
6–10
11 or more
Not sure
Do you have any of these concession cards?	Health Care Card
Pensioner Concession Card
Any Veterans’ Affairs treatment entitlement card
What is the highest level of education you have reached?	Some high school
Completed high school
Currently studying a degree or diploma
Completed a trade or technical qualification
Completed a degree or diploma
Postgraduate degree