Patient Feedback

We are always looking for ways to improve our service. Your feedback is important to us so please take a few moments to complete this short survey and let us know about your experience of your appointment or home visit. Thank you.

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* 1. What was the name of the clinician who saw you?

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* 2. Where was your appointment

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* 3. When was your appointment?

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* 4. Please choice the option which you feel best reflects the experience of your appointment or home visit today...

  Strongly Agree Agree Disagree Strongly Disagree Unsure
I felt involved in decisions made surrounding my care
I understand what will happen next
The clinician explained my treatment clearly
I received the support I required today
I was treated with dignity and respect

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* 5. Would you recommend this service to your friends and family?

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* 6. Do you have any comments and suggestions you would like to make?

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