1. Are you the patient or carer providing feedback?

Patient Carer

2. Did you see a Learning Disability Liaison Nurse during your hospital stay?

Yes No

3. Did they help you?

Yes No

4. Did the Learning Disability Nurses help you understand what was wrong with you?

Yes No Not sure

5. Did the Learning Disability Nurses help you understand your treatment?

Yes No

6. What was good about the care provided?

7. What could we improve?

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

Very good Good Neither good nor poor Poor Very poor Don't know

9. If you have any other comments you would like to make, please write them below