Evaluation Form

We are continually evaluating the quality of service provided to doctors using the service. We would be grateful if you could please complete this form now that your contact with the service has ended.
Please note - the information collected will be anonymised and kept confidential. The information will be used for quality improvement only.

I felt that the PSS listened to my concern(s)

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* 1. I felt that the PSS listened to my concern(s)

I felt understood

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* 2. I felt understood

Was the advice given achievable?

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* 3. Was the advice given achievable?

Was the PSS response provided within an appropriate timeframe?

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* 4. Was the PSS response provided within an appropriate timeframe?

Did you feel confident in disclosing personal information? 

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* 5. Did you feel confident in disclosing personal information? 

Did the service provide you with information regarding confidentiality?

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* 6. Did the service provide you with information regarding confidentiality?

Would you recommend that a colleague contact the service if they are in need of support? 

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* 7. Would you recommend that a colleague contact the service if they are in need of support? 

Do you have any further comments you wish to make about your experience with the service?

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* 8. Do you have any further comments you wish to make about your experience with the service?

How did you hear about the service?

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* 9. How did you hear about the service?

Do you have any suggestions on how we could better promote the service?

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* 10. Do you have any suggestions on how we could better promote the service?

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