Children's, NICU and NOAH 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 / Your Child's experience of our service?

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

2. Please tell us what was good about your / your child's care?

4000 characters remaining

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

Yes No

3. Please tell us what could have been improved?

4000 characters remaining

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

Yes No

4. Overall how clean and comfortable 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

A little about you / your child;

6. Are you completing this on behalf of a child?

Yes No

7. How old is the child you are completing this survey for?

0-3 months 3-6 months 6-12 months 1 - 5 years 5 - 12 years 12 - 17 years 18 - 25 N/A

8. Which of the following options best describes how you identify yourself:

Male Female Non-Binary Trans Man Trans Woman Other Prefer not to say

9. What do you consider to be yours / your child's 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

10. Do you / your child 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

Thank you

Become a Member of Medway and help shape our future, to find out more please visit our website: https://www.medway.nhs.uk/membership/become-a-member.htm Thank you for taking the time to complete this survey. We'll use this feedback to improve the service we provide at Medway NHS Foundation Trust.

If you have an urgent concern or wish to make a complaint, please contact the Patient Advice and Liaison Service (PALS). medwayft.pals@nhs.net or telephone: 01634 825004