Easy Read Friends and Family Test Survey

Question Title

* Please enter the Team Code for the service you attended

Question Title

* 1. Think about all the time we have seen you . Were we:

Very Good

Good

Neither good nor poor

Poor

Very Poor

Don't Know

Question Title

* 2. Think about your answer in question 1. Why did you give us that answer?

Question Title

* 3. Were we friendly and helpful?

Yes

Sometimes

Question Title

* 4. Did we give you all the information that you needed?

Yes

Sometimes

Question Title

* 5. Did we make you feel safe when we saw you?

Yes

Sometimes

Question Title

* 6. Did we see you in a place that worked well for you?

Yes

Sometimes

Question Title

* 7. Did we treat you the way you wanted to be treated?

Yes

Sometimes

Question Title

* 8. Did you feel you were a part of making choices about your care?

Yes

Sometimes

Question Title

* 9. Did you feel like we listened and understood you?

Yes

Sometimes

Question Title

* 10. Did we give you enough time?

Yes

Sometimes

Question Title

* 11. What did we do well?

Question Title

* 12. What could we do better?

Question Title

* What is your age range?

0 to 11 months

1 to 4 years

5 to 11 years

12 to 17 years

18 to 39 years

40 to 59 years

60 to 79 years

80 years +

Question Title

* Are you a

Patient or Service User

Other (please specify)

Question Title

* Please confirm if you allow your comments to be made public.

Yes

Question Title

* Thank you for completing the survey. For questions about the NHS Friends and Family Test, please leave a comment in the box below or please email us at hnf-tr.friendsandfamily@nhs.net