Your views about the 111 telephone service

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In the last few weeks you sought health advice using the 111 telephone service. This questionnaire asks you about your experience of the 111 service on this occasion. Please complete all the questions as best as you can. Any information you give will remain confidential, this questionnaire is anonymous unless you wish to provide us with further details which will enable us to contact you. If you are completing this questionnaire on paper, then please return it in the envelope provided, which does not need a stamp. Thank you.

1. How quickly did you get through to a 111 advisor? *

The call was answered immediately (within one minute)
The call was answered after being held in a queue (over one minute)
I hung up before talking to someone, and tried again later
I don't know / can't remember

2. At the end of the call what did 111 tell you? *

My call would be transferred to the 999 ambulance service
A telephone call back from the GP out of hours service or face to face GP contact was arranged
Go to one of the following by myself: A&E department/Urgent Care Service
Contact my GP or someone else at my usual general practice myself
Contact another health professional myself e.g. (midwife, dentist). Please specify who in the box below
A call back was arranged from another health care professional. Please specify who in the box below
I was advised to look after the problem myself without contacting another health service

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