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* 1. Which of these best describes you?

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* 2. What is your age?

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* 3.
Which University Hospital Site are you visiting/staying in?

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* 4. Please identify your ward below:

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* 5. Did the porter services staff introduce themselves in a polite, friendly and professional manner?

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* 6. Did the porter services staff put you at ease during your interaction?

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* 7. Was the porter services staff ID badge(s) clearly visible?

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* 8. If you made the request to porter services yourself, was your request dealt with in a polite, professional and timely manner?

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* 9. If you had a wheelchair transfer, was the wheelchair comfortable and in good condition?

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* 10. If you were transferred on a bed or trolley, was the transfer comfortable?

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* 11. Did the porter services staff make every effort to maintain your privacy and dignity throughout the transfer?

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* 12. Were you taken to the correct department or ward by our porter services staff?

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* 13. Did the porter services staff leave you unattended at any time?

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* 14. Did you have overall satisfaction with the porter services you received?

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* 15. Feedback is important to us.  Please leave comments below or use this space to explain your answers, if applicable.  (N.B. do not include names of staff or any other personal identifiable information)

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