We would like you provide feedback below in relation to your recent Private Healthcare experience at Sheffield Teaching Hospitals. We welcome feedback to tell us what we are doing right and what we can improve.

Your response is voluntary, anonymous and will not be traced back to you. If you do respond your feedback will be shared with Private Healthcare Information Network (PHIN) who publish independent, trustworthy information to help patients make informed treatment decisions, and providers to improve standards.

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* 1. Month of treatment

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* 2. Ward

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* 3. Specialty

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* 4. Consultant

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* 5. How likely are you to recommend our hospital to friends and family if they need similar care or treatment?

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* 6. Were you involved as much as you wanted to be in decisions about your care and treatment?

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* 7. Did you find someone on the hospital staff to talk to about your worries and fears?

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* 8. Were you given enough privacy when discussing your condition or treatment?

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* 9. Did a member of staff tell you about medication side effects to watch for when you went home?

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* 10. Did hospital staff tell you who to contact if you were worried about your condition or treatment after you left hospital?

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* 11. Overall, did you feel you were treated with respect and dignity while you were in the hospital?

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* 12. Please provide any additional comments

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