We value all feedback to ensure we deliver a high quality service.  Thank you for your time.

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* 1. Name 

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* 2. How did you hear about the Home from Hospital Service?

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* 3. Was the support you received relevant to your needs to help you stay independent?

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* 4. Did you find it easier to leave hospital knowing that you would have support at home?

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* 5. Did our staff refer you to any other organisations for advice and support?

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* 6. Which organisations did we refer you to?

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* 7. What impact did this have on you?

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* 8. Do you feel that since accessing our service that your social interaction has improved?

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* 9. Did the Home from Hospital Support Workers treat you with dignity and respect?

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* 10. As a result of the support you received are you now feeling more optimistic about your future?

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* 11. How satisfied are you with the support you have received from the Home from Hospital team?

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* 12. Please let us know if since accessing the Home from Hospital Service, has the following enabled you -

  Improved Stayed the same Deteriorated N/A
To make healthy lifestyle choices
To increase your control and self-esteem in your home
To keep in contact with family, friends and neighbours
To reduce the chance of a hospital readmission

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* 13. As a result of our service do you feel confident you can support yourself?

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* 14. Would you recommend our service to anyone who needs support to return home from North Tees Hospital?

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* 15. We also offer support with money matters.  If you received a leaflet, has this supported you to make improvements in how you manage your finances?

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* 16. Is there anything else that you would like to see delivered from the Home from Hospital team that isn't already offered?

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* 17. We use a variety of methods to help you stay safe when you leave hospital  do you feel these have helped you to stay safe?

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* 18. Please use this space to provide any other feedback that you may have, as this will help us to improve our service.

Thank you for completing this survey - we will use your feedback to improve our services

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