Intensive Rehabilitation Team Survey

If you have used the Intensive Rehabilitation Team services in the past year, we would like to hear your views and experiences

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* 1. Did the Intensive Rehabilitation Service (IRS) become involved with your treatment as part of your discharge from the hospital?

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* 2. If you answered YES to question 1, did the hospital team that discharged you ensure the equipment you required arrived in a timely manner?

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* 3. If you answered NO to question 1, did the IRS team become involved with your care as a means of keeping you out of hospital?

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* 4. Who were you referred by?

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* 5. If you were referred by any of the above professionals did any equipment you may have needed for your treatment arrive on time?

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* 6. Can you briefly describe your conditions? E.g. recovery from a broken leg, recovery from hip replacement etc.

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

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

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

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* 10. How often did they visit you at home?
(E.g. Every day for 1 week, 3 times a week etc)

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* 11. How many days in total were you visited at home by the health professional involved in your care?

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* 12. Were you involved in making the decision about what your needs and goals were?

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* 13. Do you think the overall treatment was effective and has improved your condition?

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* 14. Would you be happy to be treated by the IRS, in your home again in the future?

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* 15. Were you asked if you had any communication support requirements such as a hearing impairment, a visual impairment or a learning difficulty prior to being visited by the IRS team?

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* 16. If you had any of the above support needs, were the health professionals able to communicate with you in a way you were able to understand?

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* 17. 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 IRS team?

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* 18. Which borough do you live in?

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* 19. Gender?

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* 20. Nationality?

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* 21. Date of Birth?

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* 22. Ethnicity: What do you consider your ethnicity to be

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* 23. Do you consider yourself to be disabled?

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

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* 25. What is your religion, faith or belief?

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* 26. Do you have any other comments?

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* 27. 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:

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