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MediConnect: Healthcare Access Study (Kgatleng District)
Hello! We are conducting a short study on how residents of Modipane and the Kgatleng district access medical care. The survey will take 5–7 minutes. All answers are completely anonymous. Thank you for participating!
Section 1: About you
1. Your age:
*
A
Under 18
B
18-24
C
25-34
D
35-44
E
45-54
F
55-64
G
65 - older
2. Where do you live?
*
A
Modipane
B
Other village in Kgatleng district
C
City in Kgatleng district
D
Other (please specify): ____
3. Do you own a smartphone/computer ?
*
A
Yes
B
No
Section 2: How you seek medical help
4. How often do you seek medical help?
A
Once a month or more
B
Several times a year
C
Once a year
D
Less than once a year
E
I don't seek help
5. How do you usually book a doctor's appointment? (Multiple choice allowed)
*
I just show up and stand in line
I call by phone
Through friends/acquaintances
Via the internet
Other (please specify): _____
*
6.Where do you usually go when you need medical care?
*
A
Public hospital/Government clinic / health post
B
Private clinic/ private doctor/Private hospital
7. How much time do you usually spend in line waiting to see a doctor?
*
A
Less than 30 minutes
B
30 minutes – 1 hour
C
1–2 hours
D
2–4 hours
E
More than 4 hours
8. Have you ever had to leave the hospital without seeing a doctor
*
A
Yes, often
B
Yes, sometimes
C
Rarely
D
Never
9. What is the most inconveniencing thing for you when going to the doctor? (Multiple choice allowed)
*
Long wait in line
Not knowing when I will be seen
Having to travel far
No money
Other (please specify): _____
Section 3: What you have already tried
10. Have you ever tried to find out the appointment time in advance?
*
A
Yes, I tried
B
No, I didn't try
11. If you tried to find out the appointment time in advance, what did you do? (Multiple choice allowed)
*
Called the hospital
Asked friends/acquaintances
Came earlier
Didn't try
Other (please specify): _____
12. What prevented you from finding out the appointment time in advance? (Multiple choice allowed)
*
No one answers the phone
I don't know where to call
No internet
Other (please specify): _____
Section 4: Your opinion
13. What would you like to change in how you get to the doctor? (Text answer box)
*
14. Do you want to add anything? (Text answer box)
*
Submit
