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Thank you for agreeing to participate in this research project. The goal of this project is to develop effective referral and reporting between general practice and acupuncture for the treatment of mental health. Your response will help us ensure that the results are valid and applicable to those working in this area. This survey will take between 5-10 minutes to complete. |
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Have you ever, or would you ever, refer a patient to an acupuncturist? |
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Have you ever, or would you ever, refer a patient to an acupuncturist for the care of mental health problems? |
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3. How likely are you to refer to an acupuncturist for the following conditions? (This list is taken from the WHO report “ACUPUNCTURE: REVIEW AND ANALYSIS OF REPORTS ON CONTROLLED CLINICAL TRIALS” but is not an exhaustive list).
Part a. Diseases, symptoms or conditions for which there is significant research on acupuncture efficacy:
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4. How likely are you to refer to an acupuncturist for the following conditions? (This list is taken from the WHO report “ACUPUNCTURE: REVIEW AND ANALYSIS OF REPORTS ON CONTROLLED CLINICAL TRIALS” but is not an exhaustive list).
Part b. Diseases, symptoms or conditions for which the therapeutic effect of acupuncture has been shown but for which further proof is needed:
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5. If you were to refer to an acupuncturist how important would the following be? (This list is adapted from an accepted referral pathway text.)
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What information would you think necessary to include in a referral form to an acupuncturist? Tick all that apply |
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What information would you expect in a return report from your acupuncturist? Tick all that apply. |
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What frequency would you expect return reports? |
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| Do you have any addition comments regarding referral to acupuncture that you would like to include in the results of this survey? | | |
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How many years have you been in general practice? |
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Are you in a city, urban, suburban or rural practice? |
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Are you in a solo or group practice? |
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What age group do you belong to? |
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Have you ever experienced acupuncture as a patient? |
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Have you ever administered acupuncture yourself? |
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| If you would be willing to be contacted for a follow up focus group, please put your email here: | | |
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