CHI - Experience of Service Questionnaire – Day Services (Parent Carer)

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 about the service.

	Certainly True	Partly True	Not True	Don't Know
I feel that the people who have seen my child listened to me	I feel that the people who have seen my child listened to me Certainly True	I feel that the people who have seen my child listened to me Partly True	I feel that the people who have seen my child listened to me Not True	I feel that the people who have seen my child listened to me Don't Know
It was easy to talk to the people who have seen my child	It was easy to talk to the people who have seen my child Certainly True	It was easy to talk to the people who have seen my child Partly True	It was easy to talk to the people who have seen my child Not True	It was easy to talk to the people who have seen my child Don't Know
I was treated well by the people who have seen my child	I was treated well by the people who have seen my child Certainly True	I was treated well by the people who have seen my child Partly True	I was treated well by the people who have seen my child Not True	I was treated well by the people who have seen my child 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 with the problem I came for	I feel the people here know how to help with the problem I came for Certainly True	I feel the people here know how to help with the problem I came for Partly True	I feel the people here know how to help with the problem I came for Not True	I feel the people here know how to help with the problem I came for 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 my child are working together to help with the problem (s)	I feel that the people who have seen my child are working together to help with the problem (s) Certainly True	I feel that the people who have seen my child are working together to help with the problem (s) Partly True	I feel that the people who have seen my child are working together to help with the problem (s) Not True	I feel that the people who have seen my child are working together to help with the problem (s) 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
The appointments are usually at a convenient time (e.g. don't interfere with work, school)	The appointments are usually at a convenient time (e.g. don't interfere with work, school) Certainly True	The appointments are usually at a convenient time (e.g. don't interfere with work, school) Partly True	The appointments are usually at a convenient time (e.g. don't interfere with work, school) Not True	The appointments are usually at a convenient time (e.g. don't interfere with work, school) Don't Know
It is quite easy to get to the place where the appointments are	It is quite easy to get to the place where the appointments are Certainly True	It is quite easy to get to the place where the appointments are Partly True	It is quite easy to get to the place where the appointments are Not True	It is quite easy to get to the place where the appointments are Don't Know
If a friend needed similar help, I would recommend that he or she come here	If a friend needed similar help, I would recommend that he or she come here Certainly True	If a friend needed similar help, I would recommend that he or she come here Partly True	If a friend needed similar help, I would recommend that he or she come here Not True	If a friend needed similar help, I would recommend that he or she 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?

Child's age:

Child's gender:

Female
Male

Childs ethnicity:

Is your child registered disabled (e.g. hearing impaired)?

No
Yes