CHI - Experience of Service Questionnaire – Day Services (12 - 18)

Which psychologist have you seen? *

Dr. Faye Corbett, Dr. Penny Tunnicliffe, Dr. Victoria Barratt
Other

For each item, please tick the box that best describes what you think or feel.

	Certainly True	Partly True	Not True	Don't Know
I feel that the people who saw me listened to me	I feel that the people who saw me listened to me Certainly True	I feel that the people who saw me listened to me Partly True	I feel that the people who saw me listened to me Not True	I feel that the people who saw me listened to me Don't Know
It was easy to talk to the people who saw me	It was easy to talk to the people who saw me Certainly True	It was easy to talk to the people who saw me Partly True	It was easy to talk to the people who saw me Not True	It was easy to talk to the people who saw me Don't Know
I was treated well by the people who saw me	I was treated well by the people who saw me Certainly True	I was treated well by the people who saw me Partly True	I was treated well by the people who saw me Not True	I was treated well by the people who saw me Don't Know
My views and worries were taken seriously	My views and worries were taken seriously Certainly True	My views and worries were taken seriously Partly True	My views and worries were taken seriously Not True	My views and worries were taken seriously Don't Know
I feel the people here know how to help me	I feel the people here know how to help me Certainly True	I feel the people here know how to help me Partly True	I feel the people here know how to help me Not True	I feel the people here know how to help me Don't Know
I have been given enough explanation about the help available here	I have been given enough explanation about the help available here Certainly True	I have been given enough explanation about the help available here Partly True	I have been given enough explanation about the help available here Not True	I have been given enough explanation about the help available here Don't Know
I feel that the people who have seen me are working together to help me	I feel that the people who have seen me are working together to help me Certainly True	I feel that the people who have seen me are working together to help me Partly True	I feel that the people who have seen me are working together to help me Not True	I feel that the people who have seen me are working together to help me Don't Know
The facilities here are comfortable (e.g. waiting area)	The facilities here are comfortable (e.g. waiting area) Certainly True	The facilities here are comfortable (e.g. waiting area) Partly True	The facilities here are comfortable (e.g. waiting area) Not True	The facilities here are comfortable (e.g. waiting area) Don't Know
My appointments are usually at a convenient time (e.g. don't interfere with school, clubs, college, work)	My appointments are usually at a convenient time (e.g. don't interfere with school, clubs, college, work) Certainly True	My appointments are usually at a convenient time (e.g. don't interfere with school, clubs, college, work) Partly True	My appointments are usually at a convenient time (e.g. don't interfere with school, clubs, college, work) Not True	My appointments are usually at a convenient time (e.g. don't interfere with school, clubs, college, work) Don't Know
It is quite easy to get to the place where I have my appointments	It is quite easy to get to the place where I have my appointments Certainly True	It is quite easy to get to the place where I have my appointments Partly True	It is quite easy to get to the place where I have my appointments Not True	It is quite easy to get to the place where I have my appointments Don't Know
If a friend needed this sort of help, I would suggest to them to come here	If a friend needed this sort of help, I would suggest to them to come here Certainly True	If a friend needed this sort of help, I would suggest to them to come here Partly True	If a friend needed this sort of help, I would suggest to them to come here Not True	If a friend needed this sort of help, I would suggest to them to come here Don't Know
Overall, the help I have received here is good	Overall, the help I have received here is good Certainly True	Overall, the help I have received here is good Partly True	Overall, the help I have received here is good Not True	Overall, the help I have received here is good Don't Know

What was really good about your care?

Was there anything you didn't like or anything that needs improving?

Is there anything else you want to tell us about the service you received?

How old are you?

I am a:

Female
Male

I consider myself:

Are you registered disabled (e.g. hearing impaired)?

No
Yes