Australian Hospital Patient Experience

Required

Area

My views and concerns were listened to

Always

Mostly

Sometimes

Rarely

Never

Didn't apply

My individual needs were met

Always

Mostly

Sometimes

Rarely

Never

When a need could not be met, staff explained why

Always

Mostly

Sometimes

Rarely

Never

I felt cared for

Always

Mostly

Sometimes

Rarely

Never

I was involved as much as I wanted in making decisions about my treatment and care

Always

Mostly

Sometimes

Rarely

Never

I was kept informed as much as I wanted about my treatment and care

Always

Mostly

Sometimes

Rarely

Never

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

Always

Mostly

Sometimes

Rarely

Never

Didn't apply

I received pain relief that met my needs

Always

Mostly

Sometimes

Rarely

Never

Didn't apply

When I was in the hospital, I felt confident in the safety of my treatment and care

Always

Mostly

Sometimes

Rarely

Never

I experienced unexpected harm or distress as a result of my treatment or care

Yes, physical harm

Yes, emotional distress

Yes, both

My harm or distress was discussed with me by staff

Yes

Not sure

Didn’t want to discuss it

Overall, the quality of the treatment and care I received was

Very good

Good

Average

Poor

Very poor

Is there any team member you would specifically like to mention that impacted on your care outcomes

Any other comments or suggestions?

Would you like a call back?

Yes

If so, please provide your contact details and preferred number

Reference

© Australian Commission on Safety and Quality in Health Care 2018. This publication is licensed for use and distribution under a Creative Commons Attribution-Noncommercial-Share Alike (BY-NC-SA) v4.0 licence.

https://creativecommons.org/licenses/by-nc-sa/4.0/

Version: 15.27.3