Day surgery survey Friends and Family Test (FFT) survey

English

Share your experience of day surgery

Your feedback helps us to celebrate what’s working well and identify where we need to improve. We would be grateful if you would take a moment to review your experience of our day surgery unit.

Please choose the service you visited:

1. Thinking about the service we provide, overall, how was your experience of our service?

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

Notes

2. Can you tell us why you gave that response?

4000 characters remaining

Notes

3. Do you regard yourself as having a disability, impairment, or other condition that requires extra support or reasonable adjustments?

Yes No Prefer not to say

Notes

4. If yes, did the hospital staff provide this support or adjustments?

Yes To some extent No Not applicable

Notes

5. Did the clinician you saw listen to what you had to say?

Yes No

Notes

6. Were you involved in decisions about your care and treatment?

Yes To some extent No I didn't want to be involved

Notes

7. Is there a member of staff you would like to recommend and what did they do to impress you?

4000 characters remaining

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

Yes No

Notes

8. Are you?

Male Female Gender neutral Other Prefer not to say

Notes

9. Age?

16-24 years 25-34 years 34-44 years 45-54 years 55-64 years 65-74 years 75+ years

Notes

10. What is your ethnicity?

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

Notes

11. I self describe as:

4000 characters remaining

Notes

Share your experience of day surgery

Your feedback helps us to celebrate what’s working well and identify where we need to improve. We would be grateful if you would take a moment to review your experience of our day surgery unit.

1. Thinking about the service we provide, overall, how was your experience of our service?

2. Can you tell us why you gave that response?

3. Do you regard yourself as having a disability, impairment, or other condition that requires extra support or reasonable adjustments?

4. If yes, did the hospital staff provide this support or adjustments?

5. Did the clinician you saw listen to what you had to say?

6. Were you involved in decisions about your care and treatment?

7. Is there a member of staff you would like to recommend and what did they do to impress you?

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

8. Are you?

9. Age?

10. What is your ethnicity?

11. I self describe as:

Submit

Thank you

Thank you for taking the time to complete this survey