Please share your recent experience with us by completing this survey

Please do not input your name or names of staff on the survey

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* 1. Enter the Team code here

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* 2. Please provide the name of the Service or Team that delivered your care (if known). For example: Community Mental Health Team East

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* 3. How likely would you be to recommend this service to other patients?

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* 4. What is the main reason for the answer you have chosen?

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* 5. Were you given any information about the services before you came here?

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* 6. Were you offered a chance to visit the service before your admission?

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* 7. Did you meet your new care coordinator before your admission?

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* 8. When you were admitted to the service were you welcomed by staff?

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* 9. Have you been given enough information, things like the name of your doctor and care coordinator and the name of your team?

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* 10. Are you involved, as much as you want to be, in decisions about your care and treatment?

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* 11. Have you been given information about what to do if you are unhappy with the care you receive?

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* 12. Are there enough activities available for you to do during the day?

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* 13. Are the staff friendly and helpful?

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* 14. Did you feel you were treated unfairly by the team?

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* 15. If you felt you were treated unfairly was it because of:

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* 16. Can you give an example of why you feel this way?

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* 17. Your age

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* 18. Your gender

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* 19. What is good about the service?

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* 20. What could be better?

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