Screen Reader Mode Icon
We would be grateful if you would complete this feedback form following your recent hernia repair procedure.  If possible this form should be completed approximately 6 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?

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. 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 1-10 with 1 being not at all & 10 being completely

Question Title

* 7. Were the painkillers provided after surgery satisfactory?

Question Title

* 8. Did the doctor or nurse ring you the day after surgery and was this useful?

Question Title

* 9. Did you have an infection requiring antibiotics?

Question Title

* 10. Did you have any of the following complications? please tick as appropriate

Question Title

* 11. 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

* 12. Procedure date

Date

Question Title

* 13. Procedure location

0 of 13 answered
 

T