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Target lung health check patient survey

The purpose of this survey is to help us understand your experience of the Lung Health Check you received today and to better understand why you chose to attend. In turn we hope that your responses will allow us to improve the service and encourage more people to attend. This survey is anonymous.

1. What age category are you in?

2. Are you?

ExcellentGoodAdequatePoor
3. Ease of booking today’s appointment
4. Location of mobile unit
5. Process of getting your consent to participate in the health check
6. Information provided to you
7. Explanation of the checks and results process
8. Waiting time
9. Experience of having the scan (if applicable)
10. Communication from staff during health check
11. Facilities on board
12. Overall impression of the care received during health check

3. Ease of booking today’s appointment

4. Location of mobile unit

5. Process of getting your consent to participate in the health check

6. Information provided to you

7. Explanation of the checks and results process

8. Waiting time

9. Experience of having the scan (if applicable)

10. Communication from staff during health check

11. Facilities on board

12. Overall impression of the care received during health check

13. Please use the box below if you would like to make any further comments on any of the above

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14. Which of the following encouraged you to attend today? Please tick all that apply

15. Please add your comments here

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16. If required, how willing are you to continue to take part in the Lung Health Check programme on a scale of 1 – 10 (where 1 is completely willing and 10 is not at all willing)?

17. Where would you usually get information regarding health issues? Please tick all that apply

18. If you answered 'other' to question 17, please specify below:

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19. Roughly how many times have you seen your GP or a hospital doctor in the last year?

20. Have you attended any medical screening in the past (e.g. mammography or bowel scope)?

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

22. Please tell us how you travelled to your appointment?

23. If you selected 'Other' to question 22, please specify below

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24. Approximately how many minutes did it take you to get here?

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Equality and Diversity monitoring (optional)

This next section is optional, if you don't wish to answer the next few questions please end the survey here. Thank you for your time today

25. Do you consider yourself to have a physical disability/impairment?

26. What is your ethnicity?

27. Are you a carer?

Please email TLHCOps@uhs.nhs.uk if you have any questions or are interested in being more involved in the service.

Thank you for taking the time to complete this survey.

Thank you