| Demographics | |
| 1 | What is your current age? |
| 2 | What gender do you identify as? |
| 3 | Do you identify as Aboriginal and/or Torres Strait Islander? |
| 4 | Do you have a health care card/concession card? |
| 5 | What is your highest level of education attained? |
| 6 | What is your annual income before tax? |
| 7 | What is your current employment status? |
| 8 | How long have you been attending JCU Dental Clinic? |
| Perceptions | |
| 9 | Which of the following locations do you feel you are most likely to be exposed to COVID-19? (please number from 1 to 5, 1 being the highest risk of exposure and 5 being the lowest risk). |
| 10 | What would increase your feeling of safety when coming to the dental clinic? Please number from 1 to 5 in order of importance, with 1 being the most important and 5 being the least important. |
| 11 | How do you think the COVID-19 pandemic has impacted your dental health. |
| 12 | JCU Dentals response to COVID-19 included closure of the dental clinic in March 2020. |
| 13 | COVID-19 protocols implemented by JCU Dental included social distancing, mandatory patient handwashing and patient mouthwash performed prior to treatment. |
| 14 | Closing down the JCU Dental in the March 2020 COVID-19 outbreak was appropriate. |
| 15 | If you have attended a dental clinic in the past 12 months, have the clinic’s COVID-19 protocols impacted fears around safety? |
| Access | |
| 16 | Are you attending JCU Dental because you couldn’t attend your regular dentist? |
| 17 | COVID-19 pandemic has impacted my ability to travel when attending JCU Dental. |
| 18 | Since JCU Dental has re-opened after the COVID-19 pandemic, booking an appointment has been ______. |
| 19 | Did you have an appointment cancelled due to the COVID-19 closure? |
| 20 | What was the purpose of the cancelled appointment? |
| 21 | Did you have to attend another dental clinic because JCU Dental was closed due to COVID-19? |
| 22 | Were you notified of JCU Dental Clinic’s closure due to COVID-19? |
| 23 | Were you notified when JCU Dental Clinic planned to re-open? |
| 24 | Has COVID-19 caused you any financial hardship? |
| 25 | If you answered “yes” to the above, has this financial hardship impacted your ability to afford dental treatment? |
| Attitude | |
| 26 | When attending JCU Dental, which of the following impacts your likeliness to attend the clinic? Rank in order from 1 to 5, with 1 being the most important reason to not attend and 5 being the least important reason. |
| 27 | Has COVID-19 impacted your likeliness to attend the dental clinic |
| 28 | Would you have scheduled an appointment if you had a dental emergency after the COVID-19 restrictions were put in place? |
| 29 | Are you likely to attend JCU Dental if we had a new outbreak of Cairns? |
| 30 | Does the large number of patients attending the JCU Dental Clinic influence your attendance? |