Outpatients Friends and Family Test (FFT) Survey

English

Outpatients survey

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 the service you received whilst in our care.

Please choose the service you visited:

1. Date of visit:

2. Overall, how would you rate your experience of our service?

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

Notes

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

4000 characters remaining

Notes

4. Was it easy to find your way to the outpatients department?

Yes Could be improved No I don't know

Notes

5. 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

6. If yes, did the hospital staff do everything they could to provide this support or adjustment?

Yes To some extent No Not applicable

Notes

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

Yes No

Notes

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

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

Notes

9. Is there a member of staff who you would like to recommend and what they did 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

10. Are you

Male Female Gender neutral Other Prefer not to say

Notes

11. Age:

16 to 24 years 25 to 34 years 35 to 44 years 45 to 54 years 55 to 64 years 65 to 74 years 75 years +

Notes

12. What is your ethnicity?

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

Notes

13. If you answered 'self-describe' to question 12, please specify:

4000 characters remaining

Notes

Outpatients survey

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 the service you received whilst in our care.

1. Date of visit:

2. Overall, how would you rate your experience of our service?

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

4. Was it easy to find your way to the outpatients department?

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

6. If yes, did the hospital staff do everything they could to provide this support or adjustment?

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

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

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

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

10. Are you

11. Age:

12. What is your ethnicity?

13. If you answered 'self-describe' to question 12, please specify:

Submit

Thank you

Thank you for taking the time to complete this survey