Patient FFT Greater Weald PCN 322313

 

1. We would like you to think about your experience of this service
Overall, how was your experience of our service? *

 

2. Thinking about the service we provide, please can you tell us why you gave your answer?

 

3. Please tell us about anything that we could have done better

 

4. Please put a tick in one of the boxes for each of the questions below

Strongly agreeAgreeNeither agree nor disagreeDisagreeStrongly disagree
I feel confident that I can contact the Community Nursing Team when I need to
The Community Nurse has helped me to understand how to manage my condition
I understand what my care plan involves
The Community Nurse gives me time to discuss any other concerns I have
 

5. What age are you?

 

6. Are you male or female

 

7. The person completing this form

 

8. Do you consider yourself to have a physical or mental health condition or disability?

 

9. What is your ethnic group?

  • White
  • Asian or Asian British
  • Mixed
  • Black or Black British
  • Other Ethnic Group
 

10. 10. Are you happy for your feedback to be published anonymously?