Adult Inpatient FFT Survey

Putting our patients first and ensuring we improve the quality of care is our main priority, this means listening and acting on your concerns. Please help us to improve our services by completing this short survey questionnaire about your experience of our services, it is free and will only take a few minutes of your time. Thank you.

Please choose the service you visited:

1. Thinking about your recent experience with us, overall, how was your experience of our service?

Very good

Good

Neither good nor poor

Poor

Very poor

Don't know

2. Please can you tell us what was good about your care?

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

Yes

3. Please can you tell us what could do to improve?

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

Yes

4. Overall, how clean was the location or environment you were in?

Very Good

Good

Neither good nor poor

Poor

Very poor

Don't know

5. How would you rate the quality and range of food we provided?

Very good

Good

Neither good nor poor

Poor

Very poor

N/A

Please tell us a little about you;

6. Which of the following options best describes how you identify yourself;

Male

Female

Non-binary

Trans Man

Trans Woman

Other

Prefer not to say

8. What do you consider to be your ethnic background?

White

Mixed or multiple ethnic groups

Asian or Asian British

Black, Black British, Caribbean or African

Other ethnic group

Prefer not to say

9. Do you have any of the following conditions?

A long-standing physical condition

A mental health condition

A learning disability

A long standing illness (e.g. asthma, diabetes, COPD, cancer, dementia, heart disease)

Blind or partially sighted

Deafness or severe hearing impairment

Other

None of the above