Hobart Eye Surgeons

The Australian Hospital Patient Experience Question Set (AHPEQS) is a survey used by hospitals and healthcare services to ask recent patients about their experiences of treatment and care. The answers to these questions help hospitals and healthcare services to deliver the sort of care that patients need and want.

Responses can remain anonymous.

Date of Procedure:

Procedure:

1. My views and concerns were listened to: *

2. My individual needs were met: *

(if you answered Always/Mostly, skip to Q4)

3. When a need could not be met, staff explained why:

4. I felt cared for: *

5. I was involved as much as I wanted in making decisions about my treatment and care: *

6. I was kept informed as much as I wanted about my treatment and care: *

7. As far as I could tell, the staff involved in my care communicated with each other about my treatment: *

8. I received pain relief that met my needs: *

9. When I was in the hospital, I felt confident in the safety of my treatment and care: *

10. I experienced unexpected harm or distress as a result of my treatment or care: *

Yes, physical harm
Yes, emotional distress
Yes, both
No

(if you answered No, skip to Q12)

11. My harm or distress was discussed with me by staff:

Yes
No
Not sure
Didn't want to discuss it

12. Overall, the quality of the treatment and care I received was: *

Do you have other comments that would assist management with improving Patient Experience?

Would you like to discuss any of this with management? *

Yes
No

Your Name: *

Contact Details: *

Phone number or email address