The Primary Care Mental Health (PCMH) service questionnaire

We would love to hear your feedback on the experience you had with the PCMH. Please answer all questions with as much detail as possible so we really capture your experience. Your feedback is important and valued, and will help to ensure the PCMH service continues to improve moving forward.

All of your information will be anonymised and your feedback will contribute towards a quarterly report for the PCMH management team, Commissioners and other service users.

If you would like to be entered into our quarterly prize draw, to be in with a chance to win a £30 voucher to a shop of your choice then once you have completed the survey please leave your name and contact details at the end. We do not share your information with anyone else.
Thank you for taking the time to complete this survey and provide your feedback. If you have any questions about this questionnaire or would like to complete this survey over the phone, please contact Charlotte at The SUN Network on charlotte.lawrence@sunnetwork.org.uk or call/text/whatsapp me on 07907 472 024.

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* 1. At which GP surgery did you attend your PCMH service appointment?

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* 2. Please choose your age from one of the following options (Click on box to select)

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* 3. Which gender do you identify as? (Click on box to select)

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* 4. Did you access PCMH for help with your Mental Health, Drug and alcohol challenges or both? (Click on box to select)

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* 5. Have you accessed mental health or drug and alcohol services before? (Anywhere) (Click on box to select)

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* 6. Did you receive an information leaflet on the PCMH service prior to your appointment?

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* 7. How quickly were you seen, or contacted, by the PCMH service?

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* 8. Were your needs identified by the PCMH service? Please explain how they were or were not identified.

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* 9. How well do you feel the PCMH practitioner listened to you? Can you please let us know why you feel they listened or didn't listen? 

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* 10. Who made the decisions about your care during the meeting with the practitioner?

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* 11. What has been beneficial for you as a result of accessing the PCMH service?

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* 12. How did you access your PCMHS appointment?

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* 13. Which mode do you prefer to use to access your appointments? Tick as many as you like.

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* 14. Do you have any further comments you would like to make? Any suggestions of improvements for the service. Or positive things you would like to highlight about the PCMH service?

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* 15. Please leave your name so we know you have given feedback and don't try to contact you again for the same reason. Your name will not be shared with anyone else.

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* 16. Would you like to be added into our prize draw, to be in with a chance to win a £30 voucher to a shop of your choice?

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* 17. Would you like to be added to our mailing list, to receive more opportunities to have your voice heard?  

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* 18. If you have answered Yes to either of the previous two questions, please leave your contact details below. If you said no to mailing list but yes to the quarterly prize draw then we will only contact you if you win.

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