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. |