Radiotherapy feedback questionnaire for patients, family or friends

You are invited to complete a short survey about the radiotherapy service. It is not compulsory and so it is up to you to decide if you want to complete it.
 
We are interested in your experiences of the radiotherapy department, so we can improve the service we provide.  Several studies have looked at the experiences of people who have received radiotherapy and have highlighted areas of the service which are important to patients and their families / friends. We would like to understand more about these issues so would really appreciate your help. It will take a few minutes of your time to complete this questionnaire.
 
You are under no obligation to participate in this survey as it will not affect the treatment that you or your family/friend is receiving from the Trust. This survey is completely anonymous and so we request that do not include any of your personal contact or confidential information in your responses.
 
Please DO NOT include your name or contact details as this questionnaire is confidential.

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* 1.
Are you currently receiving radiotherapy?

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* 2.
Are you a friend or relative attending the department with someone who is receiving radiotherapy?

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* 3. Are you male or female?

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* 4. What is your age?

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* 5.
We understand that good communication is important. Please could you tell us of your experience of communication in the radiotherapy department?

(Communication between you and staff / between staff / between departments / between hospitals / receiving appointments / point of contact)

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* 6.
The amount, type and timing of information given to patients and family / friends is important. Please could you tell us how you felt about the information you have received in the department and any suggestions you have for improvement.

 

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* 7.
What is your overall experience of the quality of care you have received in the radiotherapy department either as a patient or family / friend?

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* 8.
In what way could you have been helped more during your radiotherapy treatment? We understand that completing radiotherapy can be a worrying time for patients and their family / friends and additional support may be required.

Thank you for taking the time to complete this survey. Your feedback will be used to make improvements to the radiotherapy department.


Your responses are confidential and the information you have provided will be used anonymously. The results of the survey may be published in professional journals to share our findings with other departments.

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