Patient FFT MIU Crowborough 322340

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

Very good

Good

Neither good nor poor

Poor

Very poor

Don't know

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

Please tell us about anything that we could have done better

What age are you?

0-15

16-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Are you male or female

Male

Female

Prefer not to say

I think of myself as

I think of myself as:

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The person completing this form

The Patient

A carer

A family member

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

Yes

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

Yes

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Patient FFT MIU Crowborough 322340

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

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

Please tell us about anything that we could have done better

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

What age are you?

Are you male or female

The person completing this form

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

What is your ethnic group?

White

Asian or Asian British

Mixed

Black or Black British

Other Ethnic Group

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

Was this survey completed via

Page 1

We would like you to think about your experience of this serviceOverall, how was your experience of our service?

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

Please tell us about anything that we could have done better

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

What age are you?

Are you male or female

The person completing this form

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

What is your ethnic group?

White

Asian or Asian British

Mixed

Black or Black British

Other Ethnic Group

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

Was this survey completed via

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