NT Oral Health Services Feedback | Have Your Say Northern Territory

1.

Do you identify as Aboriginal or Torres Strait Islander?

* required

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, both Aboriginal and Torres Strait Islander

No, not Aboriginal or Torres Strait Islander

2.

How did you hear about us?

* required

Word of mouth

Referral by a health professional (e.g. private dentist, GP, nurse, hospital staff)

NT Oral Health Services pamphlet

NT Health Facebook

Google search

School newsletter

NT Health website

I have always been aware of the service

Other (please specify)

3.

Why did you attend the dental clinic today?

I have been on the list for a check-up

The appointment was part of my treatment planning as discussed with my dentist last time (for fillings, extractions, cleaning and denture appointments)

Referral from another health professional

Emergency or relief of pain (toothache or other pain) – I booked this appointment ahead of time

Emergency or relief of pain (toothache or other pain) – I walked in and waited for an appointment

4.

Which dental clinic did you attend?

* required

Casuarina Dental Clinic

Gove Dental Clinic

Katherine Dental Clinic

Palmerston Dental Clinic

Special Needs Dental Clinic at Royal Darwin Hospital

5.

Are you aware of the Australian Charter of Health Care Rights?

* required

Yes

No - please ask out staff about the Australian Charter of Health Care Rights

6.

Did you read our notice board in the waiting area?

* required

Yes, it was interesting or useful

Yes, it was not interesting or useful

No, maybe I will next time

No, I am not interested in this information

7.

This question relates to the dental team you saw today, not the reception team. Did the detail professional ask you any of the following?

* required

Name

Date of birth

Address

Phone number

Health Care Card details (Centrelink)

Medicare Card details

Medical history

Your reason for attendance

None of the above

8.

This question relates to the dental team you saw today. Did the dental professional caring for you ask for consent before treatment?

* required

Yes

No

I can't remember

9.

The next questions relate to the dental team you saw today. Did the dental professional caring for you explain treatment options to you?

* required

Yes, they gave a lot of information

Yes, but not enough information provided

No, no information provided (please provide more information below)

10.

Did you have enough privacy while in the dental surgery today?

* required

Yes

No (please provide more information below)

11.

Were you aware of the dental staff cleaning their hands before and after caring for you today?

* required

Yes, I saw/heard them cleaning their hands

No, I don't think they did clean their hands

I'm not sure if they did

12.

Were you aware that all dental instruments were sterilised?

Yes

No

Other (please comment below)

13.

Were staff polite during your visit today?

* required

Yes, the reception staff were polite

Yes, the dental team were polite

No

Other (please specify)

14.

Our current appointment times are between 8:15am-12:15pm and 1pm-4pm, Monday to Friday. Do these times suit you or would other times be

better?

* required

The current times suit me

The current times suit me but there is not enough availability

I would like to see more appointments in the morning (e.g. 7-8am)

I would like to see more appointments in the afternoons (e.g. 4-5pm)

Other (please specify)

15.

If you needed treatment outside our operating hours (e.g. after-hours, public holidays and close down periods), what would you do?

* required

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16.

Do you know how to give feedback about our service?

* required

Yes

No – please ask our staff about options to provide feedback

17.

Please select your top two (2) preferences for providing feedback

* required

I’d like to fill out a feedback form on the day

I’d like to talk to someone to provide feedback on the day

I’d like call up to provide feedback later

I’d like to receive an SMS or a QR code with a link

Other (please specify)

18.

If we have a consumer advisory group in the future, would you like to be a part of this group?

* required

No

Yes (please provide your contact details below)

19.

Do you have any ideas on how we can improve our service?

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0/255