Maternity FFT - Antenatal

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* 1. What hospital site did you attend?

Royal Shrewsbury Hospital

Princess Royal Hospital

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* 2. Today's date

Date

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* 3. How was your experience of our service?

Very good

Good

Neither good nor poor

Poor

Very poor

I don't know / I can't remember

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* 4. What went well with your care and treatment?

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* 5. What could we do better?

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* 6. Are you happy for us to publish your comments anonymously?

Yes

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* 7. My age is

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* 8. Are your day-to-day activities restricted due to a health problem or disability?

Yes, limited a lot

Yes, limited a little

Prefer not to say

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* 9. Which of the following best describes your gender?

Female

Male

Non-binary

Prefer not to say

In your own words

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* 10. Trans is an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth.

Do you consider yourself to be a trans person?

Yes

Prefer not to say

In your own words

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* 11. Which of the following options best describes your sexual orientation?

Heterosexual / straight

Gay woman / lesbian

Gay man

Bi / bisexual

Prefer not to say

In your own words

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* 12. What is your ethnic group?

Asian / Asian British

Black / Black British

Mixed / Multiple Ethnic Groups

White

Other Ethnic Group

Prefer not to say

Maternity FFT - Antenatal

Question Title

* 1. What hospital site did you attend?

Question Title

* 2. Today's date

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* 3. How was your experience of our service?

Question Title

* 4. What went well with your care and treatment?

Question Title

* 5. What could we do better?

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* 6. Are you happy for us to publish your comments anonymously?

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* 7. My age is

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* 8. Are your day-to-day activities restricted due to a health problem or disability?

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* 9. Which of the following best describes your gender?

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* 10. Trans is an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth. Do you consider yourself to be a trans person?

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* 11. Which of the following options best describes your sexual orientation?

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* 12. What is your ethnic group?

* 10. Trans is an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth.

Do you consider yourself to be a trans person?