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    TTPQ

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    chrystal85
    This document is a Treatment Perceptions Questionnaire (TPQ) that asks recipients to rate their level of agreement with statements about their treatment on a 5-point scale from Strongly Agree to Strongly Disagree. It contains 3 sections: 1) ratings of treatment experiences, 2) demographic questions, and 3) an open comment box to provide feedback on the treatment and suggestions for improvement. Respondents are assured confidentiality and thanked for their participation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    TTPQ

    Uploaded by

    chrystal85
    271 views2 pages
    This document is a Treatment Perceptions Questionnaire (TPQ) that asks recipients to rate their level of agreement with statements about their treatment on a 5-point scale from Strongly Agree to Strongly Disagree. It contains 3 sections: 1) ratings of treatment experiences, 2) demographic questions, and 3) an open comment box to provide feedback on the treatment and suggestions for improvement. Respondents are assured confidentiality and thanked for their participation.

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    ttpq

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    This document is a Treatment Perceptions Questionnaire (TPQ) that asks recipients to rate their level of agreement with statements about their treatment on a 5-point scale from Strongly Agree to Strongly Disagree. It contains 3 sections: 1) ratings of treatment experiences, 2) demographic questions, and 3) an open comment box to provide feedback on the treatment and suggestions for improvement. Respondents are assured confidentiality and thanked for their participation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    271 views2 pages

    TTPQ

    Uploaded by

    chrystal85
    This document is a Treatment Perceptions Questionnaire (TPQ) that asks recipients to rate their level of agreement with statements about their treatment on a 5-point scale from Strongly Agree to Strongly Disagree. It contains 3 sections: 1) ratings of treatment experiences, 2) demographic questions, and 3) an open comment box to provide feedback on the treatment and suggestions for improvement. Respondents are assured confidentiality and thanked for their participation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Treatment Perceptions Questionnaire (TPQ)

    Next to each statement below, please put a mark (û) in ink to show whether you “strongly agree”; “agree”; “disagree”; “strongly disagree” or
    are “unsure” of your opnion.

    Your views are confidential and will only be seen by our research staff. When you have filled out the form please seal it in the envelope
    provided.

    Thank you very much for your help.

    Section 1: Your treatment

    STRONGLY AGREE UNSURE DISAGRE STRONGLY


    AGREE E DISAGREE
    During my contact with this treatment . . .

    o0 o o o o
    a. The staff have not always understood the kind of help I want.
    2 3 4
    1

    o4 o o o o
    b. I have been well informed about decisions made about my
    2 1 0
    treatment.
    3

    o0 o o o o
    c. The staff and I have had different ideas about what my
    2 3 4
    treatment objectives should be.
    1

    o4 o o o o
    d. There has always been a member of staff available when I
    2 1 0
    have wanted to talk.
    3

    o4 o o o o
    e. The staff have helped to motivate me to sort out my
    2 1 0
    problems.
    3

    o0 o o o o
    f. I have not liked all of the treatment sessions I have attended.
    2 3 4
    1

    o0 o o o o
    g. I have not had enough time to sort out my problems
    2 3 4
    1

    o4 o o o o
    h. I think the staff have been good at their jobs. 2 1 0
    3

    o4 o o o o
    i. I have received the help that I was looking for.
    2 1 0
    3

    o0 o o o o
    j. I have not liked some of the treatment rules or regulations.
    2 3 4
    1
    Please now turn over F
    Section 2: About yourself

    What is your sex? Male o Female o

    How old are you? Age . . . .

    How long have you been in this treatment programme? . . . .

    Section 3: This service

    Please write down in the box below any comments you would like to give us about the treatment you have
    received here. We would be very interested if you could tell us about how your think we could improve the
    service.

    Please now place this form in the envelope provided

    Thank you very much for your help!

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