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. 2018 Oct 12;18(4):1. doi: 10.5334/ijic.4163

Table 1.

PEICS.

  1. Have all your needs been assessed?

    • □ All of my needs have been assessed

    • □ Almost all my needs have been assessed

    • □ Some of my needs have been assessed

    • □ Few of my needs have been assessed

    • □ None of my needs have been assessed

  2. Were you as involved as you wanted to be in decisions about your care and support?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  3. Was your family or carer as involved in decisions about your care and support as you wanted them to be?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

    • □ There were no family or carers available to be involved

    • □ I don’t want or I don’t need my family or my carers to be involved

  4. Overall, do you feel that your carer/family received support from health and social services as needed?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

    • □ There were no family or carers to support

  5. Did health and social care staff tell you what will happen next?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  6. When health or social care staff planned care or treatment for you, did it happen?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  7. Were your care and support reviewed as they should be?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  8. Was your medication thoroughly reviewed as it should be?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  9. Did you know who to contact if you needed to ask questions about your condition or treatment?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  10. If you had questions, could you contact the people treating and caring for you?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  11. Did all the different people treating and caring for you work well together to give you the best possible care and support?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  12. Did health and social care services help you live the life you want?

    • □ Completely

    • □ A lot

    • □ Moderately

    • □ A little

    • □ Hardly

  13. Did health and social care staff give you information about other services that are available to someone in your circumstances, including support organisations’?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  14. Was information given to you at the right time?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  15. Was information provided in a way that you could understand?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  16. Could you meet/phone/email a professional when you needed to ask more questions or discuss the options?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never

  17. If you still needed contact with previous services/professionals, would it be possible?

    • □ Always

    • □ Often

    • □ Sometimes

    • □ Rarely

    • □ Never