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We would like you to think about your recent experience of our team or ward. What you say can help us change things that don’t work well and carry on doing things that do work well.

We won't know who has completed this survey because it is anonymous, and we may use your comments to help make things better.

Thinking about your most recent experience with us, please select your answers to as many of the questions as you wish. If you need help, you can ask a friend or carer to help you.

  • Thinking about your most recent experience, were you on a ward? *

  • I am a: Please tick if you are a Service user/patient or Carer/relative/friend using the boxes below

Service user/patient

Carer/relative/friend

  1. How likely are you to recommend our team or ward to friends and family if they needed similar care or treatment?

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

Don't know

Can you tell us why you gave that response?

  1. How kind and caring were staff to you?

Very

A little bit

Not very

Don't know

  1. Were you encouraged to have your say in the treatment or service received and what was going to happen?

All the time

Most of the time

Sometimes

Not very often

Never

Don't know

  1. Did we listen to you?

All the time

Most of the time

Sometimes

Not very often

Never

Don't know

  1. If you had any questions about the service being provided did you know who to talk to?

Yes

No

Don't know

  1. Were you given the information you needed?

Yes

No

Don't know

  1. Were you happy with how much time we spent with you?

Extremely happy

Happy

Neither happy nor unhappy

Unhappy

Extremely unhappy

Don't know

  1. Did staff help you to feel safe when we were working with you?

All the time

Most of the time

Sometimes

Not very often

Never

Don't know

  1. Overall did we help?

A lot

A little bit

Not much

Don't know

  1. Is there anything else you would like to tell us about the team or ward? (You can also use this space to tell us more about any of the questions on this survey)

What is your gender?

Male

Female

Other

What age are you?

0-18

19-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

What is your ethnic group?

White

Mixed/Multiple ethnic groups

Asian/Asian British

Black/African/Caribbean/Black British

Other ethnic group

Disability: Do you have a disability or long term health condition which affects your day to day activities?

Yes

No

This survey is confidential and we will use your comments to help make things better.

Please tick this box if you do not want your comments to be made public