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Give a recommendation

Notes: Please only complete this questionnaire if you would like to make a personal recommendation. You can of course limit this recommendation, as no one is perfect. Please only refer to your personal experience and your own group membership.

This directory and its users depend on honest recommendations, so please be truthful in your answers. Apart from your answers, no personal data will be stored. However, when completing the questionnaire, be aware that individual parts of your answers and comments may appear anonymised in the directory. The questionnaire as well as the recommendations will be available in several languages in the near future.

Self-recommendations are not possible. When submitting a recommendation, you confirm that you do not work for this practice yourself. If self-promotion is suspected, the recommendation will be deleted. Please also note the guidelines in the FAQ before submitting a recommendation.

Thank you for your recommendation!

Note: If you would like to issue a warning for a person who is listed on Queermed and you have had a completely different experience, please do so via the contact field.

Contact details and initial information

First name and surname of the person providing treatment (do not enter your own contact details!)*

First name and surname of the person providing treatment (do not enter your own contact details!)*

Street and house number*

Street and house number*

Postcode and city*

Postcode and city*

Telephone number

Telephone number

e-mail address

e-mail address

Practice website

Practice website

Profession / specialisation (in alphabetical order)*

Profession / specialisation (in alphabetical order)*

Choose
Ambulant hospice service
Ambulant nursing service
Cardiology
Child and youth psychotherapy
Day care
Dentistry / Orthodontics
Dermatology
Diabetology
Endocrinology
ENT / Phoniatrics
Ergotherapy
Gastroenterology
General medicine
General surgery
Gynaecology
Haemostaseology
Inpatient hospice
Inpatient care facility
Internal medicine
Neurology
Obstetrics / Midwife*
Oncology
Oral and maxillofacial surgery
Orthopaedics
Paediatrics and youth endocrinology
Paediatrics and youth medicine
Pain therapy
Physiotherapy
Plastic surgery
Pneumology
Proctology
Psychiatrist
Psychotherapy
Radiology
Radiotherapy/radiation oncology
Rheumatology
Senology
Speech therapy
Sports medicine
Urology
Vascular surgery
Other

Is the specialisation not yet listed? Then please write it down here:

Is the specialisation not yet listed? Then please write it down here:

Practice or clinic?*

Practice or clinic?*

What insurance status is accepted in the recommended practice?*

What insurance status is accepted in the recommended practice?*

Did you pay for certain services? If so, for what and how much?

Did you pay for certain services? If so, for what and how much?

In which language did the treatment take place?

In which language did the treatment take place?

How was the personal or telephone contact with the practice staff (e.g. were you treated respectfully, were the pronouns you chose used, was the examination/name form formulated in a gender-neutral way, ...)?

How was the personal or telephone contact with the practice staff (e.g. were you treated respectfully, were the pronouns you chose used, was the examination/name form formulated in a gender-neutral way, ...)?

Select below all treatments / consultations with which YOU PERSONALLY have had good experiences with the doctor and for which you would like to recommend the person. If the treatment is not listed, you can add it below.

Select below all treatments / consultations with which YOU PERSONALLY have had good experiences with the doctor and for which you would like to recommend the person. If the treatment is not listed, you can add it below.

Missing a treatment? Feel free to add it here

Missing a treatment? Feel free to add it here

Contact options: Can you say for sure which contact options are available? Several answers can be selected. Explanations and additions are possible below.*

Contact options: Can you say for sure which contact options are available? Several answers can be selected. Explanations and additions are possible below.*

How often have you been treated by this person? (Ideally more than once)

How often have you been treated by this person? (Ideally more than once)

Degree of accessibility

Accessibility: What options are available at this practice / location? (Please only click if you are absolutely sure and have used it yourself)

Accessibility: What options are available at this practice / location? (Please only click if you are absolutely sure and have used it yourself)

Note: Easy language is a specially regulated simple language. The linguistic expression is aimed at particularly easy comprehensibility. Plain language is intended to make it easier for people who, for various reasons, have a low level of competence in the German language to understand texts.

Respectful behaviour

Do you have the impression that the person treating you listened to you attentively? Did you feel safe and comfortable during the conversation and were you able to address your questions and problems without feeling embarrassed?

Do you have the impression that the person treating you listened to you attentively? Did you feel safe and comfortable during the conversation and were you able to address your questions and problems without feeling embarrassed?

Did the person treating you take their time and were they able to explain all your questions clearly?

Did the person treating you take their time and were they able to explain all your questions clearly?

Were you treated with respect? Respectful means that the person treating you took your fears/ insecurities seriously.

Were you treated with respect? Respectful means that the person treating you took your fears/ insecurities seriously.

Did the person treating you make discriminatory or moralising/judgemental remarks to you?

Did the person treating you make discriminatory or moralising/judgemental remarks to you?

Submit recommendation (last page of the recommendation form!)
Only make statements if YOU FEEL YOU BELONG TO THIS GROUP. Multiple answers possible.

This selection is incomplete. If you are missing something, please let us know in the comment field below.*

This selection is incomplete. If you are missing something, please let us know in the comment field below.*

You would like to add the following information to the recommendation (e.g. the therapy procedure for psychotherapy, psychiatry or psychology or other specialisations from other fields)

You would like to add the following information to the recommendation (e.g. the therapy procedure for psychotherapy, psychiatry or psychology or other specialisations from other fields)

If you would like to narrow down your recommendation, you are welcome to do so here:

If you would like to narrow down your recommendation, you are welcome to do so here:

Please enter an e-mail address here if you would like to be available for queries about your recommendation. (This e-mail address will ONLY be used to contact you if there are any queries).

Please enter an e-mail address here if you would like to be available for queries about your recommendation. (This e-mail address will ONLY be used to contact you if there are any queries).