Patients' Questionnaire — Hepatitis B health care worker

1.	How did youfirst hear about the Dentist with hepatitis B? please tick one box
		• Press/TV
		• Letter from Health Board
		• Neighbours/Family
		• Your own doctor
		• I can't remember
		• Other (please specify:)
2.	Did you receive a letter from your Health Board about the Dentist with hepatitis B? please tick one box
		• Yes	• No	• I can't remember
	If you did not receive a letter, please go to question 8.
3.	Did you understand that letter? please tick one box
		• Yes	• No	• I can't remember
4.	How did you feel after reading that letter? please tick one box
		• Completely reassured
		• Slightly reassured
		• Same as before
		• Slightly anxious
		• Very anxious
		• I can't remember
5.	Did that letter contain enough information? please tick one box
		• Yes	• No	• I can't remember
6.	If you do not feel that the letter contained enough information, what other information should have been included in the letter?
7.	Do you have other comments about that letter?
8.	Did you contact a help line? please tick one box
		• Yes	• No	• I can't remember
	If you did not contact a help line, please go to question 15.
9.	Which help line did you contact? please tick the boxes that apply
		• The Freefone number on the letter
		• The Health Board's help line
		• I can't remember
10.	Why did you phone the help line? please tick the boxes that apply
		• I was anxious
		• I wanted more information
		• I wanted to know more about hepatitis B
		• I wanted to know about hepatitis B tests
		• I wanted to know who the dentist was
		• I wanted to be sure that I had been in contact with the dentist
		• I can't remember
		• Other (please state:)
11.	How did you feel after your phone call? please tick one box
		• Completely reassured
		• Slightly reassured
		• Same as before
		• Slightly anxious
		• Very anxious
		• I can't remember
12.	Did you get enough information from your phone call? please tick one box
		• Yes	• No	• I can't remember
13.	If you did not get enough information from that call, what other information would you like to have been given?
14.	Do you have any other comments about the help line?
15.	Did you (Parents: your child) have a blood test for hepatitis B? please tick one box
		• Yes	• No	• I can't remember
16.	If you (Parents: your child) did have a blood test, how did you feel after getting your (child's) test result? please tick one box
		• Completely reassured
		• Slightly reassured
		• Same as before
		• Slightly anxious
		• Very anxious
		• I can't remember
17.	Do you have any other comments about the incident?
	Finally, we should be grateful if you would help us by answering some general questions.
18.	Do you think that patients who have been treated by somebody with hepatitis B should be informed of this? please tick one box
		• Yes — always
		• Sometimes
		• No — never
		• I am not sure
19.	If you do think that patients should be informed, what is the best way to inform them? please tick one box
		• Letter
		• Phone call
		• Face to face contact
		• The news media
		• I am not sure
		• Other (if so, by whom:)
20.	Who do you think is the best person to contact these patients? please tick one box
		• A Hospital representative
		• A Health Board representative
		• The Family doctor
		• A Nurse
		• I am not sure
		• Other (if so, who:)
21.	How old are you? (in years)
22.	What sex are you? please tick one box
		• Male	• Female
	Thank you for taking the time to help us by answering these questions.