PUMF ID
Age of respondent
Sex of respondent
In general, you would say your health is
Compared to one year ago, your health is
Place if sick/need advice about health
What kind of place is it
Do you have a regular medical doctor
No medical doctors available in the area
Doctors in area not taking new patients
Have not tried to contact one
Had a medical doctor who left or retired
In good health, do not need a doctor
Regular doctor-family dr./gp/specialist
Nurse regularly involved in health care
Other health prof. where get health care
How long going to this family physician
Same family physician or nurse each time
Dr. coordinates care with other doctors
Doctor has after hr. access for patients
Services meet most/all health care needs
Woud recom. my doctor to friend/relative
Been a patient overnight in a hospital
# of nights in past 12 months
After hosp.-dr inform. re follow-up care
Number of times saw family doctor
Number of times saw nurse 12 months
Number of times saw physiotherapist
Number of times seen a pharmacist
Number of times saw specialist
Saw specialist - had follow-up app't
Follow-up app't - dr. had test results
Talk with health prof. - improve health
Got help-reach/maint. hlthy body weight
Doctor explained test results
Dr. took health concerns very seriously
Dr. involved you in clinical decisions
Test results not avail. to your doctor
Tests repeated - had already been done
Rec'd conflict. info from different drs.
Enough time to discuss concerns
Quality of care rec'd from family dr.
Quality of health care in past 12 months
Required health information or advice
Difficulties getting health info. needed
Difficulty contacting a physician/nurse
Did not have a phone number
Could not get through (no answer)
Waited too long to speak to someone
Did not get adequate info. or advice
Did not know where to go/call/uninformed
Unable to leave house - health problem
Other type of difficulty
Where did you get information or advice
Called help line for health information
Info. or advice given on the help line
Required routine/ongoing care
Diff. getting routine/ongoing care
Difficulty contacting a physician
Difficulty getting an appointment
Do not have personal/family physician
Waited too long to get an appointment
Waited too long to see the physician
Service not available at time required
Service not available in the area
Transportation problems
Cost
Language problems
Did not know where to go
Lang. barrier trying to get routine care
Where did you get routine/ongoing care
Waiting time - routine care
In your view, the waiting time was
Acceptable waiting time - routine care
Req'd imm. care for minor health problem
Diff. getting imm. care - minor problem
Where did you get care for minor problem
Waiting time - minor problem
Acceptable waiting time - minor problem
Req'd visit to spec. for diag./consult.
Diff. getting spec. for diag./consult.
Waiting time -specialist care
Needed health care but didn't receive it
Do not have personal family physician
Other reason did not get care
Number of times used emergency
It clearly was an emergency
Didn't know if cond. was an emergency
Waiting to see spec.-health was deter.
Waiting for test - wanted it done sooner
I was told to go to emergency department
It was the only place to go
Go to the emergency whenever I need care
Use emergency for all health concerns
Other reason to go to emergency
Waiting time-emergency depart.
Emergency -cond. treatable by fam. dr.
prescription meds taken
Dr. explained side effects of medication
Doctors reviewed different medications
Side effect from prescr.-visit to dr./ER
Given wrong med. by doctor/nurse
Occurred while you were hospitalized
Wrong medication/dose caused a
Doctor told error had been made
Diagnosed or treated for arthritis
Arthritis - first diagnosed
Diagnosed or treated for asthma
Asthma - first diagnosed
Diagnosed or treated for chronic pain
Chronic pain - first diagnosed
Diagnosed or treated for emphysema/COPD
Emphysema/COPD - first diagnosed
Diagnosed or treated for cancer
Cancer - first diagnosed
Diagnosed or treated for depression
Depression - first diagnosed
Diagnosed or treated for a mood disorder
Mood disorder - first diagnosed
Diagnosed or treated for diabetes
Diabetes - first diagnosed
Diagnosed or treated for heart disease
Heart disease - first diagnosed
Diagnosed or treated for a stroke
Stroke - first diagnosed
Diag. or treated for high blood pressure
High blood pressure - first diagnosed
Past 12 mos.- blood pressure measurement
Past 12 mos. - cholesterol measurement
Past 12 mos. - body weight measurement
Past 12 mos. - blood sugar measurement
Goals in caring for chronic condition
What you did influenced health condition
Written list of things to improve health
Group/class - cope with chronic cond.
Attend classes that could help you
Visits with other doctors help treatment
Treatment plan - could do in daily life
Know what each prescribed medications do
Follow treatments I need to do at home
Understand nature/causes of condition
Know treatment opt. avail. for condition
Prevent further problems with condition
Highest level of education attained
Employment status
Total household income
Household size
Province of residence