Community FFT Survey

1. Do we organise the care and services you need well?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

2. Did we involve you as much as you wanted in agreeing what care you receive?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

3. Do we involve members of your family or those close to you as much as you would like?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

4. Do you get the help you need when you are in a crisis?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

5. Did the person or people you saw understand how your mental health needs affect other areas of your life?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

6. Did a KMPT worker check with you about how you are getting on with your medicines?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

7. Do KMPT services give you any help or advice with finding support for financial advice or benefits?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

8. Do you feel you have been seen by KMPT services often enough for your needs?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not applicable / Don't know

9. Overall, how was your experience of our service?

Very good

Good

Neither good nor poor

Poor

Very poor

Don't know

10. What was good about your experience?

4000 characters remaining

11. What would make your experience better?

4000 characters remaining

Can we share your comment publicly (for example, on our website or printed material such as posters)?

Yes

12. To ensure that all members of our local communities are experiencing fair and satisfactory services from KMPT we would like to ask you to share some personal information about yourself.

Sharing personal information will not affect the care that you receive, but it will help us to deliver services that recognise and meet your needs.

Yes

13. Which of the following best describes your sexual orientation?

Heterosexual or straight

Gay or Lesbian

Bisexual

I would prefer not to say

Other orientation

14. Please write your orientation

4000 characters remaining

15. What is your religion?

No religion

Buddhist

Christian (including Church of England, Catholic, Protestant, and other Christian denominations)

Hindu

Jewish

Muslim

Sikh

I would prefer not to say

Other religion

16. Please write your religion

4000 characters remaining

17. Do you have any physical or mental health conditions, disabilities or illnesses that have lasted or are expected to last for 12 months or more?

Yes

I would prefer not to say

18. If yes, does this reduce your ability to carry out day-to-day activities?

Yes, a lot

Yes, a little

No, not at all

19. At birth were you registered as...

Male

Female

Intersex

I would prefer not to say

20. Is your gender the same as the sex you were registered as at birth?

Yes

I would prefer not to say

21. Please write your gender

4000 characters remaining

23. How old are you?

o Under 18

o 19 - 29

o 30 - 39

o 40 - 59

o 60 - 80

o 80+

I would prefer not to say

How are we doing?

We would like feedback on the quality of your care. Thinking about your most recent contact with KMPT services:

1. Do we organise the care and services you need well?

2. Did we involve you as much as you wanted in agreeing what care you receive?

3. Do we involve members of your family or those close to you as much as you would like?

4. Do you get the help you need when you are in a crisis?

5. Did the person or people you saw understand how your mental health needs affect other areas of your life?

6. Did a KMPT worker check with you about how you are getting on with your medicines?

7. Do KMPT services give you any help or advice with finding support for financial advice or benefits?

8. Do you feel you have been seen by KMPT services often enough for your needs?

1. Do we organise the care and services you need well?

2. Did we involve you as much as you wanted in agreeing what care you receive?

3. Do we involve members of your family or those close to you as much as you would like?

4. Do you get the help you need when you are in a crisis?

5. Did the person or people you saw understand how your mental health needs affect other areas of your life?

6. Did a KMPT worker check with you about how you are getting on with your medicines?

7. Do KMPT services give you any help or advice with finding support for financial advice or benefits?

8. Do you feel you have been seen by KMPT services often enough for your needs?

9. Overall, how was your experience of our service?

10. What was good about your experience?

11. What would make your experience better?

Can we share your comment publicly (for example, on our website or printed material such as posters)?

13. Which of the following best describes your sexual orientation?

14. Please write your orientation

15. What is your religion?

16. Please write your religion

17. Do you have any physical or mental health conditions, disabilities or illnesses that have lasted or are expected to last for 12 months or more?

18. If yes, does this reduce your ability to carry out day-to-day activities?

19. At birth were you registered as...

20. Is your gender the same as the sex you were registered as at birth?

21. Please write your gender

22. What is your ethnic group? (please select from the dropdown)

23. How old are you?

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