PART I

Background

· Age of the respondent

· Mother/father

· Focus of health care visit (pregnancy, child health care)

PART II

Experiences of the visit

· Attitude towards me was friendly

· They listened to me

· I got answers to my questions

· The guidance was understandable

· They put their minds to my issue thoroughly

· The staff worked reliable

· All examinations and procedures were made professionally

· The visit met my expectations

· The atmosphere was positive

· The staff acted well as a team

· The staff respected professional skills of each other’s

· The staff was proficient

· After the visit, I had a clear impression of the future health care plans

· The staff worked without hurry

PART III

Evaluation of the treatment and service

· Five out of twenty adjectives to choose (10 positive, 10 negative)