1. Please select your age range

18-25 26-35 36-45 46-55 56-65 66-75 76-85 86-90 91+

2. What is your ethnicity?

Asian / Asian British Black / African / Caribbean / Black British Mixed / Multiple ethnic groups White / White British Self describe Prefer not to say

3. Please select your gender

Male Female Non-Binary Prefer to self describe Prefer not to say

4. Do you find the haemophilia and bleeding disorder service easy to access?

All the time Most of the time Some of the time Never

5. How do you usually contact them?

Telephone Email Text Other

6. If necessary, does the team get back promptly?

All the time Most of the time Some of the time Never N/A

7. Are you seen or telephoned on time with your hospital appointment?

All the time Most of the time Sometimes Never N/A

8. Are appointment times convenient to you?

All the time Most of the time Sometimes Never N/A

9. Are you given enough time to ask questions about your treatment and care?

All the time Most of the time Sometimes Never

10. Do you feel able to discuss any concerns?

All the time Most of the time Sometimes Never

11. Who did you see at the most recent appointment? (please select all that apply)

Consultant Other specialist doctor e.g. registrar Nurse Physiotherapist

12. How satisfied are you with the care provided by the Consultant?

Very satisfied Satisfied Dissatisfied Very dissatisfied

13. How satisfied are you with the care provided by the Nurse specialist?

Very satisfied Satisfied Dissatisfied Very dissatisfied

14. If you have used the service for many years, do you feel it has improved?

Yes Not sure No N/A

15. Are you more likely to seek help/come in for treatment knowing you can be dealt with by the nurse specialist?

Yes No

16. I feel listened to.

Strongly agree Agree Disagree Strongly disagree N/A

22. Please add any further comments you may have on the haemophilia and bleeding disorders service.

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