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Spread a Smile Feedback Questionnaire

Page 1

Thank you so much for completing this questionnaire. We really appreciate you taking the time to do so. Please note that this is an anonymous survey and your answers will be used to help us improve our work and ensure that we are always providing the best possible services.
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Question 1.

How old is your child?

- Required.
This question requires an answer
Please select
Question 2.

What is your child's condition? (Optional)

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Question 3.

Which hospital has your child received treatment at?

- Required.
This question requires an answer
Please Select
This is required
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Question 4.

What is your home county?

- Required.
This question requires an answer
Please Select
This is required
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Question 5.

How long has your child been receiving hospital treatment?

- Required.
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Question 6.

Please tell us how you heard about Spread a Smile

- Required.
This is required
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Question 7.

How many Spread a Smile virtual visits has your child received?

- Required.
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Question 8.

Please rate the following aspects of your interaction with Spread a Smile using the boxes below

- Required.
This question requires an answer
Professionalism of team prior to virtual visit
Professionalism of team post virtual visit
Communication with team prior to virtual visit
Communication with team post virtual visit
Quality of entertainment on virtual visit(s)
Online safety during virtual visit
Overall experience of virtual visit
Question 9.

How could we improve Spread a Smile virtual visits?

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Question 10.

Aside from Virtual Visits, what services are you aware of that Spread a Smile offers?
(Tick all that apply)

- Required.
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Question 11.

Please tell us about the impact Spread a Smile services have had on your child.

- Required.
Question 12.

Please tell us about the impact Spread a Smile services have had on any siblings.

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Question 13.

How much do you agree or disagree with the following statements about Spread a Smile's Virtual Visits?

- Required.
This question requires an answer
They provide a distraction from treatment
They reduce pain and/or anxiety
They improve compliance with treatment and/or procedures
They help boost confidence and self-esteem
They encourage socialisation and help connect with others
They create positive memories
They make the hospital environment seem less frightening/scary
They improve the hospital experience
They have a positive impact on emotional well being
They are tailored appropriately to age/developmental level
Spread a Smile takes the time to understand individual needs
Question 14.

Would you recommend Spread a Smile based on your experience?

Please select
Question 15.

What is your view of Spread a Smile?

Question 16.

Which three words do you think best describe Spread a Smile?

Question 17.

Please share any other comments or feedback with us about the impact of our work or to help us improve