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* 1. Which procedure did you have?

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* 2. Were you offered a choice of dates/times to have the test?

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* 3. Did you receive your pre-appointment preparation pack?

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* 4. Was the written information about what the test involved helpful?

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* 5. Did you have any problems taking your bowel prep?

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* 6. At the Reception, were you dealt with promptly and efficiently?

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* 7. Was there a delay on the day of your procedure?

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* 8. If yes, were you informed of the reason?

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* 10. Did the nurse explain that there might be risks/complications associated with doing the test?

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* 11. Were you given an opportunity to ask questions before signing the Consent Form?

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* 12. Did the staff involved in your care introduce themselves to you?

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* 13. Did you opt for sedation on this occasion?

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* 14. How would you describe, if any, your pain during the procedure?

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* 15. Were you given enough privacy when changing or being prepared for your procedure?

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* 16. Did you feel that your privacy/dignity was respected during the procedure?

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* 17. Did you feel that your privacy/dignity was respected whilst in recovery?

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* 18. Were the results to the test explained to you afterwards?

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* 19. Were you provided with a copy of the examination report?

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* 20. If you need to wait for histology results, was it made clear to you how you would get the results?

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* 21. Are there ways in which your visit to the endoscopy unit could have been improved?

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* 22. Is there anything you think the Endoscopy Unit is doing particularly well?

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* 23. How would you rate your overall experience in the Endoscopy Unit?

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* 24. How likely are you to recommend Riverside Endoscopy to friends or family?

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* 25. We have many ways to feedback about your experience with us today. You can also tell us via NHS Choices, our website and by email. Please give your name and address ONLY if you would like a response to your comments

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