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Thank you for taking the time to complete this short survey based on your recent experience at the clinic. This survey will be used for the purposes of service development for the Health Adviser team. Please answer all questions as honestly as you can. Your responses will be anonymous and you will not be required to provide any personal details.

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1. What was the reason for your most recent appointment at the clinic?

Please select only one from the following options

I had symptoms

I wanted a peace of mind check-up, I had no symptoms

A sexual partner advised me to attend

I was referred by my GP or other testing service (e.g. Rainbow, Brook)

I received a call from the clinic to advise me to attend

Other (please specify):

This is required

What contact did you have with a Health Adviser?

Please select from the following options. More than one option may apply.

I saw the Health Adviser in the clinic on the day of my check up

I spoke to the Health Adviser on the phone- they contacted me with my results, advice or information

I did not see the Health Adviser in the clinic when I attended for a check-up.

If you did not see a Health Adviser at your appointment, please specify why below:

Comments:

This is required

Thinking about your meeting with the Health Adviser (either in person or on the phone), how comfortable did you feel when discussing your sexual health at the time?

Please select one from the following options.

I felt really embarrassed. I didn’t feel comfortable talking to the Health Adviser.

At the start I felt uncomfortable but after a while it was easy to talk to the Health Adviser

I felt comfortable. I have no problems talking about sex and sexual health

Other (Please Specify)

This is required

If you think it can be uncomfortable to talk about sex and sexual health with the Health Adviser, please tell us what you think would help to make this easier?

Please provide your answer below:

1. What was the reason for your most recent appointment at the clinic?

Please select only one from the following options

Before your check up, how would you have answered the following:
Please select one answer for each statement ranging from Strongly Disagree to Strongly Agree.

When accessing the service you may have spoken to a Health Adviser. What do you think the role of a Health Adviser is?

You can select more than one option from the following

What contact did you have with a Health Adviser?

Please select from the following options. More than one option may apply.

Thinking about your meeting with the Health Adviser (either in person or on the phone), how comfortable did you feel when discussing your sexual health at the time?

Please select one from the following options.

If you think it can be uncomfortable to talk about sex and sexual health with the Health Adviser, please tell us what you think would help to make this easier?

Please provide your answer below:

1. What was the reason for your most recent appointment at the clinic? Please select only one from the following options

Before your check up, how would you have answered the following:Please select one answer for each statement ranging from Strongly Disagree to Strongly Agree.

When accessing the service you may have spoken to a Health Adviser. What do you think the role of a Health Adviser is? You can select more than one option from the following

What contact did you have with a Health Adviser? Please select from the following options. More than one option may apply.

Thinking about your meeting with the Health Adviser (either in person or on the phone), how comfortable did you feel when discussing your sexual health at the time?Please select one from the following options.

If you think it can be uncomfortable to talk about sex and sexual health with the Health Adviser, please tell us what you think would help to make this easier?Please provide your answer below:

1. What was the reason for your most recent appointment at the clinic?

Please select only one from the following options

Before your check up, how would you have answered the following:
Please select one answer for each statement ranging from Strongly Disagree to Strongly Agree.

When accessing the service you may have spoken to a Health Adviser. What do you think the role of a Health Adviser is?

You can select more than one option from the following

What contact did you have with a Health Adviser?

Please select from the following options. More than one option may apply.

Thinking about your meeting with the Health Adviser (either in person or on the phone), how comfortable did you feel when discussing your sexual health at the time?

Please select one from the following options.

If you think it can be uncomfortable to talk about sex and sexual health with the Health Adviser, please tell us what you think would help to make this easier?

Please provide your answer below: