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Remote Consultation Brief Questionnaire
To help us on how to make best and most appropriate use of remote consultations within Devon Sexual Health, please complete the following questionnaire after each consultation.
Consultation Location
Exeter
Barnstaple
Torbay
Gender
Male
Female
Age
Clinic ID
Clinic type
GUM
Contraception
TOPAS
HIV
Health advisor clinic
Intergrated clinic
Clinical Presentation
Outcome
Consultation Type
Phone
Video
If video consultation, please give a reason for this modality:
Do you feel this consultation medium was appropriate for this patient interaction?
Yes
No
If no, please give a reason:
Do you feel that you managed to elicit all the information you needed from the patient?
Yes
No
If no, please give a reason:
Did you manage to give all the information you wanted to give the patient?
Yes
No
If no, please give a reason: