Herts Valleys NHS Community ENT Patient Questionnaire - During COVID 19

Please Note: We assure you that your response to this survey is completely anonymous. If you have any queries related to your appointment, please reach to us on 02086836734 or hertsvalleys.ent@nhs.net

If you had an Audiology appointment close to your ENT appointment, you may receive two separate feedback links. To help us improve our services we request you to provide your feedback on both services you may have received.

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* 1. Please let us know what type of ENT appointment you had recently.

Face to Face appointment

Virtual / telephone appointment

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* 2. Which clinic did you attend for your ENT Appointment?

The Nap - Kings Langley Surgery

Watford Health Centre

Halley Stewart Clinic - Harpenden War Memorial Hospital

Potter Bar Community Hospital

I don't know

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* 3. During the booking of your appointment were you offered a choice for a suitable location for your ENT consultation?

Yes

No (If no please provide further information in the box below)

Not applicable (eg: offered a cancelled appointment)

If you answered No, please tell us why the location wasn't suitable below

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* 4. Which Clinician did you see for your ENT appointment?

Ms Sonna Ifeacho

Miss Sayeeda Ahmad

Mrs Eirini Lentari

Mr S Mandal

Mr Olakunle Ajayi

Dr Nisha Neelambaran

Dr Divyan Sankaran

Dr Omer Khalid

Dr Andre Banik

Dr Adonye Banigo

I don't know

Other - please enter name below

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* 5. How well did the clinician explain and discuss your treatment options?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

No treatment was required

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* 6. We would like you to think about your recent ENT appointment. How likely are you to recommend our service to friends and family if they needed similar care or treatment?

Extremely Likely

Likely

Neither likely or unlikely

Unlikely

Extremely Unlikely

Don't Know

Question Title

* 1. Please let us know what type of ENT appointment you had recently.

Question Title

* 2. Which clinic did you attend for your ENT Appointment?

Question Title

* 3. During the booking of your appointment were you offered a choice for a suitable location for your ENT consultation?

Question Title

* 4. Which Clinician did you see for your ENT appointment?

Question Title

* 5. How well did the clinician explain and discuss your treatment options?

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* 6. We would like you to think about your recent ENT appointment. How likely are you to recommend our service to friends and family if they needed similar care or treatment?

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* 7. If you would like to provide further comment/ suggestion please detail below: