Family & Friends Survey - Nouvita

As someone whose relative/friend is currently under the care of Nouvita, we would be grateful if you could take a few moments to complete this satisfaction questionnaire. The information you provide will enable us to ensure that the services we provide are of a high quality that we are proud of.

* 1. Name (optional)

* 2. Service user's initials (optional)

* 3. Please state the name of the hospital or home where your friend or family member is being cared for:

* 4. How satisfied are you that you received appropriate information about Nouvita when your friend or family member was admitted, or shortly afterwards?

* 5. How satisfied are you that you know who to contact to express any concerns you may have about your friend or family member? This could include the ward manager, the named nurse, the social worker etc.

* 6. How satisfied are you that the care your friend or family member is receiving/has received is of a high standard?

* 7. How satisfied are you that the care plans and medication management plans of your friend or family member has been explained to you?

* 8. How satisfied are you that staff are polite and approachable when you phone or visit?

* 9. How likely are you to recommend the hospital/home to others who need this type of care?

* 10. Nouvita want to support the families and friends of our service users. If you have any ideas how we can improve the support that we provide to you, please comment below.

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