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 the GP explain to you what the PCMH service was? If so, what did they say it was?

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

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* 8. Based on what the GP told you about the service, did you have any expectations or hopes as to what you thought the service could do for you?

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* 9. Based on your experience with the PCMH service, did they do what you hoped they would? Can you please say how they did or didn't do this.

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

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* 12. Can you tell us something that you liked about your experience with the PCMH service?

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* 13. What other services or community groups were you informed of, that may be of benefit to you?

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* 14. What benefits have there been for you as a direct result of accessing the PCMH service?

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* 15. Is the GP surgery the best place to have the PCMH service? Please say why you feel it is or isn't the best place.

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* 16. If the PCMH service could improve anything in the future what could it be and why?

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* 17. Please leave your name so we know you have given feedback and then don't try to ring you. Your name will not be shared. 

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

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* 20. 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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