ENT survey


1. Have you, or someone you care for, had an outpatient Ear, Nose & Throat (ENT) appointment in Hampshire?


2. When was the most recent appointment?


3. Where did this appointment take place?


4. Who were you seen by? Tick all that apply


5. How satisfied were you with the discussion you had about your concerns?


6. For your most recent appointment, how were you informed of your appointment date, time and location? Tick all that apply


7. Which of these methods would you have preferred? Tick all that apply


8. Before or after your appointment, did you for any reason need to get in touch with the ENT service directly?


9. Is there anything about this service that could be improved?


10. We would like to hear more about your experience of using the ENT service. Would you be happy to take part in a focus group or just talk to one of the commissioning team? If yes, please enter your email below so we can get in contact with you


11. Are there any other comments you would like to add?


12. Please provide your postcode


13. Are you:


14. Your age group


15. Your ethnic background


16. Do you consider yourself to have a disability?


17. Your religion or belief


18. You would describe your sexuality as


19. Are you a carer?