Screen Reader Mode Icon
We would be grateful if you would complete this feedback form following your recent carpal tunnel procedure. If possible this form should be completed approximately 12–16 weeks after your operation. We aim to deliver complete patient satisfaction, collecting and acting on our patient feedback is vital to our achieving this; your opinions are therefore very valuable.

Question Title

* 1. How likely are you to recommend our clinic to friends or family if they needed similar care or treatment? Please select one of the following options:

Question Title

* 2. Were you treated with courtesy throughout your appointment(s) by administration staff and the health professionals?             

Question Title

* 3. Were you given clear explanation of your condition, any medication requirements, and your treatment?

Question Title

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

Question Title

* 5. 4. How did you find the injection of local anaesthetic?

Question Title

* 6. How effective was the local anaesthetic in preventing pain during the operation? On a scale of 1 to 10 with 1 being not at all & 10 being completely

Question Title

* 7. Did you have an infection requiring antibiotics?

Question Title

* 8. Did you have any ongoing pain after the surgery which continues to be a problem?

Question Title

* 9. Are you happy with the outcome of the surgery?

Question Title

* 10. Finally, we would be grateful for any of your own comments regarding the treatment you received, the service as a whole or any part of it.

Question Title

* 11. Procedure date

Date

Question Title

* 12. Location

0 of 12 answered
 

T