Outpatient FFT Survey

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Outpatient FFT Survey

Patient experience is really important to us and we would really appreciate hearing your unique experience of our Outpatient Department.

Your feedback is free, anonymous, valued and acted on.

We would love to hear what we did well, so that we can celebrate with our staff, and also if there is anything we could improve on, so we can take action.

Our patient satisfaction survey consists of multiple choice questions and will take less than a couple of minutes to complete.

Please choose the service you visited:

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

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

2. What was good about your care?

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

Yes No

3. What could have been improved?

Please answer for each of the following groups

	Yes	No	Don't know
4. Reception
Notes:
5. Nurses
Notes:
6. Doctors
Notes:

4. Reception

Yes No Don't know

5. Nurses

Yes No Don't know

6. Doctors

Yes No Don't know

7. Was the department you visited clean and tidy?

Yes Somewhat No I'm not sure

8. Were you involved in decisions about your care?

Yes Sometimes No Don't know N/A

9. Were you given enough information during your appointment about your condition or procedure?

Yes No Don't know

10. After your appointment were you clear about your plan of care or what to expect next?

Yes No Don't know N/A

11. Were you informed if your appointment was running late?

N/A - I was seen on time Yes Sometimes No I don't know

12. Would you recommend our Outpatient department services to friends or family members?

Yes No Don't know

13. Would you recommend Medway Hospital overall to your friends or family?

Yes No Don't know

Demographics

14. Are you:

Male Female Non-binary Prefer not to say

15. How old are you?

Under 18 18 - 25 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 - 84 85 +

16. Are you:

White Mixed or multiple ethnic groups Asian or Asian British Black, Black British, Caribbean or African Other ethnic group Prefer not to say