Community Treatment Team (CTT) Survey

If you have received any treatment from the Community Treatment Team (CTT) in the past year we would like to hear your experiences.

Question Title

* 1. Did the Community Treatment Team (CTT) become involved with your treatment as part of your attendance to the Accident & Emergency Department at Queens Hospital?

Question Title

* 2. Did the Community Treatment Team (CTT) become involved with your care as a means of keeping you out of the hospital?

Question Title

* 3. Who were you referred by?

Question Title

* 4. Were you involved with the team in agreeing a plan of action for your recovery?

Question Title

* 5. Can you briefly describe the reason you are using this service? E.g. A fall, long-term condition or difficulty moving. It could have even been a urine infection or chest infection.

Question Title

* 6. Which health professionals were involved in your treatment? (please tick all that apply)

Question Title

* 7. How effective was the treatment and support you received?

Question Title

* 8. Please can you give a reason for your answer to question 7

Question Title

* 9. How many visits were made to you by the CTT team?

Question Title

* 10. When you have called the CTT service in a crisis, how long did it take for someone to return your call and then come and see you?

Question Title

* 11. Would you be happy to use the CTT again in the future?

Question Title

* 12. If you would not be happy to use the service again, what are the reasons for this?

Question Title

* 13. Were you asked if you had a hearing impairment, visual impairment or learning disabilities prior to being visited by the CTT team?

Question Title

* 14. Were you asked if you required any additional support, such as large print, British Sign Language (BSL) interpreter or easy read, due to your communication needs prior to being visited by the CTT team?

Question Title

* 15. Are there any other comments or suggestions you would like to make?

Question Title

* 16. Which borough do you live in?

Question Title

* 17. What Gender are you?

Question Title

* 18. What Nationality are you?

Question Title

* 19. Date Of Birth?

Question Title

* 20. What do you consider your ethnicity to be?

Question Title

* 21. Do you consider yourself to be disabled?

Question Title

* 22. If you are disabled, would you describe your impairment as (tick all that apply)

Question Title

* 23. What is your religion, faith or belief

Question Title

* 24. Thank you for your help in completing this survey. If you would like to receive a copy of the report we produce, please provide your contact details below:

T