Practice Name *
Practice Location * Please select ACT NSW NT SA TAS VIC QLD WA
Are you the key contact at your practice for Beyond the C (i.e., did you sign the Practice Terms of Reference for this project)? * Please select Yes No I don't know
Which of the following best describes your main role? * Please select Practice Manager Medical Director General Practitioner Nurse Other (please specify)
Other role (please specify)
Did your practice access Beyond the C project webinars? * Please select Yes No Not sure / Don’t remember
On a scale of 1 to 5, how satisfied were you with Beyond the C project webinars? * Please select 1. Not at all satisfied 2. Not very satisfied 3. Neither satisfied nor dissatisfied 4. Quite satisfied 5. Very satisfied
Did your practice access ASHM hepatitis C training? * Please select Yes No Not sure / Don’t remember
On a scale of 1 to 5, how satisfied were you with ASHM hepatitis C training? * Please select 1. Not at all satisfied 2. Not very satisfied 3. Neither satisfied nor dissatisfied 4. Quite satisfied 5. Very satisfied
Did your practice access ASHM resources? * Please select Yes No Not sure / Don’t remember
On a scale of 1 to 5, how satisfied were you with ASHM resources? * Please select 1. Not at all satisfied 2. Not very satisfied 3. Neither satisfied nor dissatisfied 4. Quite satisfied 5. Very satisfied
Did your practice access Individualised practice virtual support? * Please select Yes No Not sure / Don’t remember
On a scale of 1 to 5, how satisfied were you with Individualised practice virtual support? * Please select 1. Not at all satisfied 2. Not very satisfied 3. Neither satisfied nor dissatisfied 4. Quite satisfied 5. Very satisfied
Did your practice access Financial Reimbursements (ASHM auxiliary payment)? * Please select Yes No Not sure / Don’t remember
On a scale of 1 to 5, how satisfied were you with Financial Reimbursements (ASHM auxiliary payment)? * Please select 1. Not at all satisfied 2. Not very satisfied 3. Neither satisfied nor dissatisfied 4. Quite satisfied 5. Very satisfied
Please use this space if you would like to elaborate on any of the above responses.
Please describe key change(s) (if any) your practice has made as a result of participating in this project.
On a scale of 1 to 5, how confident are you that client outcomes in your practice will improve as a result of your organisation’s participation in Beyond the C? * Please select 1. Not at all confident 2. Little confidence 3. Somewhat confident 4. Confident 5. Very confident
Is there any additional support that might help your practice continue to test and treat patients for hepatitis C in your practice setting? If yes, please note here.
Do you have any additional feedback about Beyond the C?
Please provide your email address if you would like to receive a de-identified summary of the questionnaire results.
RACGP/ACRRM Number(s) *
General Practitioner Name/s *
Improve practice processes and procedures for identification, recall and management of patients with hepatitis C * Please select Not met Partially met Mostly met Entirely met
Determine the prevalence of treated and untreated hepatitis C within the practice. * Please select Not met Partially met Mostly met Entirely met
Prioritise the importance of coded data entry and data search methods in improving patient care. * Please select Not met Partially met Mostly met Entirely met
Content: Current, contemporary, evidence-based, and relevant to general practice. * Please select Not met Partially met Mostly met Entirely met
Delivery: Engaging/interactive, e.g., with opportunity for questions and feedback. * Please select Not met Partially met Mostly met Entirely met
Would you likely change anything in your practice as a result of this CPD activity? Please describe.
Would you likely recommend this CPD activity to a colleague? Please describe why/why not.