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Research conducted by Healthwatch Lewisham, Healthwatch Greenwich, and Healthwatch Bexley.

We need your help to improve our service to you.
 
If you have attended University Hospital Lewisham or Queen Elizabeth Hospital, for any outpatient appointment within the past 6 months, we really need your feedback about your experience of our service.
 
If you want to give feedback on a number of visits, within the past 6 months, please complete a separate form for each visit.
 
Please mark or check the box for the answer you choose and use the spaces if you want to give additional feedback.

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* 1. Are you completing this survey for:

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* 2. Which Borough do you live in?

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* 3. Which hospital is your outpatient appointment at today (or in the last 6 months)?

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* 4. In which outpatient clinic is your appointment (eg. cardiology, dermatology, diabetes, etc.)

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* 5. On the list below, please add the numbers 1, 2 and 3 to show us the top 3 ways you prefer to be contacted about your outpatient appointment? Give 1 to your favourite, 2 to your 2nd choice and 3 to your 3rd choice.

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* 6. Do you feel that you were given enough notice about your appointment’s date and time?

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* 7. Did you find it easy to contact someone regarding your appointment?

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* 8. Did you get information about the purpose of this appointment and what to expect? (For example, who you would see, what would happen at the appointment, and anything that you might need to do to prepare for the appointment).

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* 9. Was it easy to find where your appointment was on site?

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* 10. If you answered no to question 9, then please tell us what made it hard to find (check the appropriate box). If you answered yes to question 9, please skip this question and go to question 11.

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* 11. If you received a diagnosis or had treatment, did your healthcare professional explain it to you clearly?

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* 12. Do you know how you will get your results or who will contact you about treatment?

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* 13. How positive do you feel about the way staff spoke to you?

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* 14. Please use the space below if you would like to leave additional feedback. For example, tell us what worked well for you or what could have been done to make today’s visit better.

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