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Patient FFT Community Nursing Lewes 322312

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Question 1.

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

- Required.
Question 2.

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

Question 3.

Please tell us about anything that we could have done better

Question 4.

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

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
Question 5.

What age are you?

Question 6.

Are you male or female

This is required
Question 7.

The person completing this form

Question 8.

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

Question 9.

What is your ethnic group?

White

Asian or Asian British

Mixed

Black or Black British

Other Ethnic Group

Question 10.

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

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Question 11.

Was this survey completed via

- Required.