1. Please choose the ward where you are staying:

Please type the first few letters... Beech Laurel Nightingale 1 (Outpatients Medical) Physio Medical Nightingale 2 on SAL Rosewood Spruce Linden Oak Chestnut Mulberry Palm Ebony Holly Acer Unit Avery Hill Mottingham Rowan Juniper Maple Cherry Redwood Acute Medical Unit (AMU) Olive

2. Overall, how would describe your experience of care on this ward?

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

3. Are you aware of Protected Mealtimes?

Yes No

4. Were you given a menu to browse and choose from?

Yes No

5. Were all menu options available to you?

Yes No

6. How would you rate the choice of meals offered?

Very good Good Poor Very Poor

7. What mealtime assistance were you given offered? (Please select all that apply)

Help with handwashing/ cleaning hands Helped into a comfortable position Table cleared and cleaned Water jug/glass refilled Help with eating/drinking None offered None required

8. How would you rate the quality of the meals provided to you?

Very Good Good Poor Very Poor