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NHS Sussex - CYPCC Patient Experience Survey
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1.
Question 1.
When you are filling in this survey, are you:
Required
- Required.
The child / young person who has been referred and assessed for CYPCC
Parent / Carer / Legal Guardian
Other (Please specify below):
This is required
Input box for - Other (Please specify below):
*
2.
Question 2.
Please tell us where the assessment took place?
Required
- Required.
Face to Face
MS Teams
Telephone Call
*
3.
Question 3.
I was given a clear explanation as to why I / the child/young person being assessed was being referred and assessed for eligibility for CYPCC funding.
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Please tell us why you have chosen your answer:
This is required
*
4.
Question 4.
I felt that my view of my needs/the needs of the child / young person being assessed were taken into account throughout the assessment process.
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Please tell us why you have chosen your answer:
This is required
*
5.
Question 5.
I felt that the professionals understood my needs / the needs of the child or young person who was being assessed and felt involved in the process (This may include people like social workers or a nurse)
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
Please tell us why you have chosen your answer:
Required
This is required
*
6.
Question 6.
I felt that any professionals involved in the CYPCC assessment process communicated and collaborated well with each other throughout.
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Not Applicable
Please tell us why you have chosen your answer:
This is required
*
7.
Question 7.
I received all the information I needed to understand what was happening throughout the process
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
How and in what format did you receive information? Would anything else have helped your understanding of the process?
Required
This is required
*
8.
Question 8.
I was given a named person to contact for advice and support.
Required
- Required.
Yes
No
Don't Know
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9.
Question 9.
I/the child/young person received the support needed to help participate in the CYPCC assessment process as fully as needed.
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Please tell us why you have chosen your answer.
This is required
*
10.
Question 10.
I / the child/young person being assessed, was treated with dignity and respect throughout.
Required
- Required.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Please tell us why you have chosen your answer.
This is required
*
11.
Question 11.
Overall, how was your experience of the CYPCC assessment process?
Required
- Required.
Very Good
Good
Neither Good nor Poor
Poor
Very Poor
Please provide any additional information that you feel could help in the improvement of our service:
This is required
*
12.
Question 12.
The outcome of the assessment was:
Required
- Required.
Eligible for Children’s Continuing Care
Not Eligible for Children’s Continuing Care
Don’t know / Not Sure
13.
Question 13.
Is there anything else you would like to add?