1. How long have you been a patient at our community health centre "De Central"?

Please indicate what applies to you.

Less than 6 months

6 months to 1 year

1 year to 2 years

2 years to 5 years

More than 5 years

2. How did you first come to our centre?

Please indicate what applies to you.

I deliberately chose a community health centre.

I ended up at the community health centre by chance.

Other:

3. What was the main reason for registering at our centre?

Please indicate what applies to you (multiple options possible).

I was new in Leuven and was looking for a new doctor.

I was dissatisfied with my previous doctor and so I registered.

I was looking for a centre where various health care providers (doctor, nurse, physiotherapist,...) are present under one roof.

I was looking for a centre without long waiting times.

I was looking for a centre that also organises social activities.

Other:

4. When I call the community health centre I am well served.

Please indicate what applies to you.

Totally disagree

Disagree

Neutral

Agree

Totally agree

5. When I check in at the reception, I am well served.

Totally disagree

Disagree

Neutral

Agree

Totally agree

6. I can easily make an appointment if needed.

Totally disagree

Disagree

Neutral

Agree

Totally agree

7. I feel welcome when using the services of the centre.

Totally disagree

Disagree

Neutral

Agree

Totally agree

8. Which services of our centre have you used in the past 12 months?

Please indicate what applies to you (multiple options possible).

Doctor

Nurse

Physiotherapist

Psychologist

Social worker

Dietician

Tobaccoologist

Dental hygienist

Health promotion activities: yoga, revaqua, rugschool...

Physical activity on prescription

None of the above services

Other:

9. I am satisfied with the services and care I receive at the centre.

Please indicate what applies to you.

Totally disagree

Disagree

Neutral

Agree

Totally agree

10. I am satisfied with the waiting time before being helped.

Totally disagree

Disagree

Neutral

Agree

Totally agree

11. I am satisfied with the communication between myself and the healthcare providers.

Totally disagree

Disagree

Neutral

Agree

Totally agree

12. My questions and concerns as a patient are taken seriously.

Totally disagree

Disagree

Neutral

Agree

Totally agree

13. I feel understood and heard by my healthcare providers.

Totally disagree

Disagree

Neutral

Agree

Totally agree

14. I am involved in decisions about my care and treatment.

Totally disagree

Disagree

Neutral

Agree

Totally agree

15. I know who to contact if I have a complaint.

Totally disagree

Disagree

Neutral

Agree

Totally agree

16. I would recommend the community health centre to family or friends.

Yes

No

Do you want to share your experiences in our feedback group?

In a small group, we talk together about what is going well and what could be better in our operation. We will ask additional questions about your experiences and listen to your suggestions. As a thank you, we provide a healthy treat for every participant in this group.

Yes

No