Greenwich Children's Continence Clinic Call for Information Survey

Question Title

* 1. Have you or a friend/family member accessed the Greenwich Children's Continence Clinic in the last 2-3 years?

Question Title

* 2. Have you or a friend/family member accessed the Greenwich Children's Continence Clinic in the last 2 months?

Question Title

* 3. How was your or your family member/friend's experience?

	Very good	Good	Average	Poor	Very poor	N/A
Accessibility, opening times, distance	Accessibility, opening times, distance Very good	Accessibility, opening times, distance Good	Accessibility, opening times, distance Average	Accessibility, opening times, distance Poor	Accessibility, opening times, distance Very poor	Accessibility, opening times, distance N/A
Quality of support provided to children at the clinic	Quality of support provided to children at the clinic Very good	Quality of support provided to children at the clinic Good	Quality of support provided to children at the clinic Average	Quality of support provided to children at the clinic Poor	Quality of support provided to children at the clinic Very poor	Quality of support provided to children at the clinic N/A
Experience of and support provided to carers at the clinic	Experience of and support provided to carers at the clinic Very good	Experience of and support provided to carers at the clinic Good	Experience of and support provided to carers at the clinic Average	Experience of and support provided to carers at the clinic Poor	Experience of and support provided to carers at the clinic Very poor	Experience of and support provided to carers at the clinic N/A
Involvement in any decisions made	Involvement in any decisions made Very good	Involvement in any decisions made Good	Involvement in any decisions made Average	Involvement in any decisions made Poor	Involvement in any decisions made Very poor	Involvement in any decisions made N/A
Quality of after care (information provided, accessibility, nursing support etc.)	Quality of after care (information provided, accessibility, nursing support etc.) Very good	Quality of after care (information provided, accessibility, nursing support etc.) Good	Quality of after care (information provided, accessibility, nursing support etc.) Average	Quality of after care (information provided, accessibility, nursing support etc.) Poor	Quality of after care (information provided, accessibility, nursing support etc.) Very poor	Quality of after care (information provided, accessibility, nursing support etc.) N/A
Quality of any resources/supplies used	Quality of any resources/supplies used Very good	Quality of any resources/supplies used Good	Quality of any resources/supplies used Average	Quality of any resources/supplies used Poor	Quality of any resources/supplies used Very poor	Quality of any resources/supplies used N/A

Other (please specify)

Question Title

* 4. Is there anything about your experience you would change?

Question Title

* 5. Would you recommend the service to others?

Yes

Don't know.

Question Title

* 6. Is there anything else you would like to tell us?

This information you provide in this survey is completely confidential. The data will be used to shape Healthwatch Greenwich's knowledge and inform our interactions with Greenwich CCG and healthcare providers. You can remain anonymous and do not have to provide any contact details if you do not want to.

Question Title

* 7. Optional

Name

ZIP/Postal Code

Email Address

Phone Number