Skip to content
Askalot

← All Healthcare templates

Questionnaire template

Patient Access to Healthcare

Measures how easily patients get appointments and care, what delays them, and how cost and travel affect access.

Preview

Healthcare · Patient. All Healthcare templates

Questions in this template

Your Usual Care

  1. We want to understand how easy it is for patients to get the care they need. Please think about the past 12 months when answering.

  2. Is there a place you usually go when you are sick or need health advice?

    Choose one:

    • Yes, one place
    • Yes, more than one place
    • No

  3. What kind of place is it?

    Condition: Only for respondents with a usual place of care

    Choose one:

    • Family doctor or GP practice
    • Community health centre
    • Hospital outpatient clinic
    • Urgent care or walk-in clinic
    • Other

  4. When did you last see a doctor or other health professional?

    Choose one:

    • Within the past 3 months
    • 3 to 6 months ago
    • 6 to 12 months ago
    • More than 12 months ago
    • Never

Getting an Appointment

  1. How easy or difficult is it to get an appointment when you need one?

    Choose one:

    • Very easy
    • Easy
    • Neither easy nor difficult
    • Difficult
    • Very difficult

  2. For your most recent non-urgent appointment, how many days did you wait from booking to being seen?

    A number from 0 to 365

  3. In the past 12 months, did you put off or go without care you felt you needed?

    Choose one:

    • Yes
    • No
    • Not sure

  4. What were the reasons?

    Condition: Only when care was put off or missed

    Choose any that apply:

    • Cost
    • Long wait for an appointment
    • Could not get time off work or caring duties
    • Opening hours did not suit me
    • Transport or distance
    • Language or communication difficulties
    • Other

  5. What other reason was there?

    Condition: Only when Other was selected

    Open answer

Cost and Travel

  1. How long does it usually take you to get to your place of care?

    Choose one:

    • Less than 15 minutes
    • 15 to 29 minutes
    • 30 to 59 minutes
    • 1 hour or more

  2. How difficult is it for you to pay for visits, tests or prescriptions?

    Choose one:

    • Not at all difficult
    • Slightly difficult
    • Moderately difficult
    • Very difficult

Overall Access

  1. How satisfied are you with each of the following?

    • Opening hours
    • Getting through by phone
    • Booking online
    • Location of services
    • Access for people with a disability

    For each row: choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neutral
    • Satisfied
    • Very satisfied

  2. Overall, how would you rate your ability to get healthcare when you need it?

    Choose one:

    • Excellent
    • Good
    • Fair
    • Poor

  3. What one change would most improve your access to care?

    Open answer