Friends & Family Phoenix Health Solutions - Friends & Family Survey Question Title * 1. How likely are you to recommend our service to family and friends? Very likely Likely Neither likely nor unlikely Unlikely Don't Know Question Title * 2. How would you rate your care today? Excellent Very Good Good Fair Poor Question Title * 3. Were you given a choice of appointment times? Yes No Question Title * 4. Were you seen at your stated appointment time by the healthcare professional? Yes No Question Title * 5. Was your appointment time long enough? Yes No Question Title * 6. Did the healthcare professional listen carefully to you? Yes No Question Title * 7. If you had any questions, did you get clear understandable answers? Yes No Question Title * 8. Did the healthcare professional fully explain your treatment, care and / or medication? Yes No Question Title * 9. Were you given enough privacy during your appointment? Yes No Question Title * 10. Were you treated with dignity and respect? Yes No Question Title * 11. Were you involved in decisions about your care? Yes No Question Title * 12. Were our rooms clean? Yes No Question Title * 13. Do you consider yourself to be included in one or more of the following patient groups ( Please tick the relevant box ) Over 75 years of age Have a long-term condition. Asthma diabetes heart condition ect Mother, ( With babies,children and young people - school age ) The working population and those recently retired. You struggle to access to primary care because of your health problems. You are experiencing problems that affect your mental health which may include depression,or anxiety. None of the above Question Title * 14. Do you have any further comments? Is there anything you think we did well or could improve upon? Question Title * 15. Which service did you attend? Gastroenterology Audiology Ophthalmology Urology Physio General Surgery Vascular Ultrasound Carpal Tunnel Question Title * 16. If you are completing this questionnaire at a later date what date and time were you seen. Date / Time Question Title * 17. Which location were you seen at White Rose Surgery Ash Grove Surgery Rycroft Primary Care Done
