On the Day Patient Survey

Thank you for taking the time to complete this short survey about your experience of receiving either a blood pressure (BP) and / or pulse check and / or cholesterol check today. The survey shouldn’t take you long to complete as they are all tick-box answers to 20 questions. The first few questions ask you to tell us a bit about yourself, and the next few questions ask you about your experience having a check and the information you received.

All the information collected through the survey is completely anonymous and will be used to evaluate and develop services. The non-patient identifiable survey data will be received directly by Kent Surrey Sussex Academic Health Science Network (KSS AHSN), who will share the surveys regularly received with The British Heart Foundation to analyse the data and create a summary report, which will be made publicly available.

You may also be sent a further survey to complete in one month to help us understand more about your experience and the care you have received since the check.

Question Title

* 1. How do you self-identify

Female

Male

Non-binary

Prefer not to say

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* 2. Please specify your age range

Under 18 years of age

18-44 years

45-64 years

65-79 years

80 years or over

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* 3. Please specify your ethnicity (click on the dropdown list below)

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* 4. Which, if any, of the following options best describes your current employment status?

Working full time

Working part time

Temporarily unemployed (i.e. between jobs)

Retired

Permanently disabled

Taking care of home or family

Student

Unemployed

Prefer not to say

Other (please specify)

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* 5. Please provide the first part (3 or 4 digits) of your home postcode?

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* 6. What checks did you recieve today? (tick all that apply)

Blood Pressure Check

Pulse Check

after Pulse check had KardiaMobile Device for detecting Atrial Fibrillation (AF) - results in 30 seconds

Cholesterol check – finger prick blood test with while you wait results in approx.15 mins

Other (please specify)

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* 7. Who did the check of your BP, Pulse or Cholesterol for you?

Health Care Professional (e.g Nurse, Doctor, Health Care Assistant, Pharmacist etc)

Volunteer / Voluntary organisation (e.g St Johns Ambulance, Student, Volunteer from local charity etc)

Don’t know / Not sure

Other (please specify)

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* 8. Please state, which area (town/city/village) you were in when the check for your blood pressure / pulse and / or cholesterol took place: (e.g Brighton, Lewes, Hailsham, Guildford, Dartford etc)

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* 9. Please state, which venue/location the BP and / or Pulse check and / or Cholesterol check took place:

GP Practice Clinic

Hospital Clinic

Pharmacy

Own Home

Vaccination Centre

Community Setting e.g. (Community Centre, Supermarket, Shopping Centre, Gym, Barber shop etc.)

Other (please specify)

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* 10. To help us encourage more people to attend a blood pressure or pulse check or cholesterol check, please tell us what motivated you to attend (tick all that apply)?

Spur of the moment as the check was there & offered

Concerned about future health

Concerned or wanted reassurance of current health

My age

Family history/illness

Invitation

Just for a check up

Other (please specify)

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* 11. Do you have any long-term physical or mental health conditions, disabilities, or illnesses?

If 'no, don't know or prefer not to say', please skip to question 13.

Yes

Don't know

Prefer not to say

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* 12. Which, if any, of the following long-term conditions do you have? (tick all that apply)

I do not have any long-term conditions

Alzheimer’s disease or other cause of dementia

Arthritis or ongoing problem with back or joints

Autism or autism spectrum condition

Blindness or partial sight

A breathing condition, such as asthma or COPD

Cancer (diagnosis or treatment in the last 5 years)

Deafness or hearing loss

Diabetes

A heart condition, such as angina or atrial fibrillation

Heart Failure

High blood pressure

Kidney or liver disease

A learning disability

A mental health condition

A neurological condition, such as epilepsy

A stroke (which affects your day-to-day life)

Another long-term condition or disability (please state)

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* 13. Did you receive any of the following when you had your blood pressure and/or pulse check and/or cholesterol check (tick all that apply)?

Information and advice on lifestyle/behaviour changes / healthy living

Information on how to refer yourself to local wellbeing services (e.g. stop smoking, weight management, physical activity)

Information about how to check your pulse and / or about atrial fibrillation (AF)

Information about blood pressure (BP)

Information about cholesterol

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* 14. Were your results explained to you? (Receiving an explanation of your results is likely to improve your understanding of the potential risks associated with readings that are not within the normal range)

Yes

Not Sure

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* 15. Were you given your results on a card/printout to take away after you had received the check? (for example the readings for the checks you may have had on Blood Pressure or Pulse Rate or Cholesterol results)

Yes

Not sure

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* 16. Were you advised to monitor your blood pressure at home or offered a 24hr blood pressure monitor?
If 'no' please skip to question 18.

Yes

Not sure

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* 17. If you ticked yes to the above question, what type of information, guidance or instructions were you given (tick all that apply)?

I was given written instructions to explain how to use the monitor and how it works

I was given a home blood pressure monitoring diary (eg on paper or a link to access online)

A face-to-face explanation on using the monitor was given to me

I was given guidance over the phone

I was shown online via a facetime/zoom call

I was given an online video that explained how to use the monitor

I was not given any guidance or instructions

Other (please specify)

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* 18. There may be changes you could make to help control your blood pressure, reduce your cholesterol levels and/or improve your health and well-being. As a result of your check are you considering making any behaviour changes?

Yes

If 'Yes' please briefly state what this might be

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* 19. There are several services that can support you to achieve behaviour changes. Have you been referred to any other services or are you planning to refer yourself as a result of the check (tick all that apply)?

Weight Management

Healthy Eating

Physical Activity

Stop Smoking

Alcohol Support

Diabetes Prevention

Other (please specify)

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* 20. How would you rate the overall experience of the check that you received?

Excellent

Good

Average

Poor

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* 21. We value all feedback and would like to hear any other comments or suggestions you have to improve future services.
If you would like to make any other comments, please do so here:

Thank you for taking the time to complete this survey.

On the Day Patient Survey

Question Title

* 1. How do you self-identify

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* 2. Please specify your age range

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* 3. Please specify your ethnicity (click on the dropdown list below)

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* 4. Which, if any, of the following options best describes your current employment status?

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* 5. Please provide the first part (3 or 4 digits) of your home postcode?

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* 6. What checks did you recieve today? (tick all that apply)

Question Title

* 7. Who did the check of your BP, Pulse or Cholesterol for you?

Question Title

* 8. Please state, which area (town/city/village) you were in when the check for your blood pressure / pulse and / or cholesterol took place: (e.g Brighton, Lewes, Hailsham, Guildford, Dartford etc)

Question Title

* 9. Please state, which venue/location the BP and / or Pulse check and / or Cholesterol check took place:

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* 10. To help us encourage more people to attend a blood pressure or pulse check or cholesterol check, please tell us what motivated you to attend (tick all that apply)?

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* 11. Do you have any long-term physical or mental health conditions, disabilities, or illnesses?If 'no, don't know or prefer not to say', please skip to question 13.

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* 12. Which, if any, of the following long-term conditions do you have? (tick all that apply)

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* 13. Did you receive any of the following when you had your blood pressure and/or pulse check and/or cholesterol check (tick all that apply)?

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* 14. Were your results explained to you? (Receiving an explanation of your results is likely to improve your understanding of the potential risks associated with readings that are not within the normal range)

Question Title

* 15. Were you given your results on a card/printout to take away after you had received the check? (for example the readings for the checks you may have had on Blood Pressure or Pulse Rate or Cholesterol results)

Question Title

* 16. Were you advised to monitor your blood pressure at home or offered a 24hr blood pressure monitor?If 'no' please skip to question 18.

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* 17. If you ticked yes to the above question, what type of information, guidance or instructions were you given (tick all that apply)?

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* 18. There may be changes you could make to help control your blood pressure, reduce your cholesterol levels and/or improve your health and well-being. As a result of your check are you considering making any behaviour changes?

Question Title

* 19. There are several services that can support you to achieve behaviour changes. Have you been referred to any other services or are you planning to refer yourself as a result of the check (tick all that apply)?

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* 20. How would you rate the overall experience of the check that you received?

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* 21. We value all feedback and would like to hear any other comments or suggestions you have to improve future services. If you would like to make any other comments, please do so here:

* 11. Do you have any long-term physical or mental health conditions, disabilities, or illnesses?

If 'no, don't know or prefer not to say', please skip to question 13.

* 16. Were you advised to monitor your blood pressure at home or offered a 24hr blood pressure monitor?
If 'no' please skip to question 18.

* 21. We value all feedback and would like to hear any other comments or suggestions you have to improve future services.
If you would like to make any other comments, please do so here: