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Patient FFT Nursing Brighton Central 322027
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1.
Question 1.
We would like you to think about your experience of this service
Overall, how was your experience of our service?
Required
- Required.
Very good
Good
Neither good nor poor
Poor
Very poor
Don't know
2.
Question 2.
Thinking about the service we provide, please can you tell us why you gave your answer?
3.
Question 3.
Please tell us about anything that we could have done better
4.
Question 4.
Please put a tick in one of the boxes for each of the questions below
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Were you treated with dignity and respect?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Were you involved as much as you wanted to be in your care and treatment?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Did you receive timely information about your care and treatment?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Were you treated with kindness and compassion by the staff looking after you?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
5.
Question 5.
What age are you?
0-15
16-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
6.
Question 6.
Are you male or female
Male
Female
Prefer not to say
I think of myself as
I think of myself as:
This is required
7.
Question 7.
The person completing this form
The Patient
A carer
A family member
8.
Question 8.
Do you consider yourself to have a physical or mental health condition or disability?
Yes
No
9.
Question 9.
What is your ethnic group?
White
British
Irish
Other
Asian or Asian British
Indian
Pakistani
Chinese
Bangladeshi
Any other Asian background
Mixed
White and Black Caribbean
White and black African
White and Asian
Any other mixed background
Black or Black British
Caribbean
African
Any other black background
Other Ethnic Group
Any other Ethnic Group
I do not wish to disclose my ethnic origin
10.
Question 10.
10. Are you happy for your feedback to be published anonymously?
Yes
No
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11.
Question 11.
Was this survey completed via
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Website Link
QR Code
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