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Date:
We want to know what you think about our service: Please help improve care for yourself and others by completing this form. Your responses are completely anonymous. Please use the text boxes to add any comments. Thank you.
1.I am treated with respect and dignity.
2.I am treated with kindness.
3.I am treated as an individual.
4.I am treated by staff who are skilled.
5.I feel safe in your care.
6.I can get information and advice that is accurate, up to date and provided in a way that I can understand.
7.If my treatment, including medication, has to change, I know why and am involved in the decision.
8.I know what to do and who I can contact when I realise that things might be at risk of going wrong or my health condition may be worsening.
9.I have a copy of my care plan that I understand.
10.I know how to access my health and care records and decide which personal information can be shared with other people.
11.I am confident that my care and support in this service is joined up with others services that support me.
12.I am encouraged and enabled to feedback about my care in ways that work for me and I know what changes are made.
13.I can keep in touch and meet up with people who are important to me, including family, friends and people who share my interests, identity and culture (inpatients only).
Thinking about your experience of this service:
14.Overall, how was your experience of our service?
15.Please tell us why you gave your answer?
16.Please tell us about anything that we could have done better
We would like to hear about your experience as a patient. We value your feedback, and your answers will be anonymous and treated in confidence.
17.I identify with
18.What is your Age?
19.What is your Sexual Orientation?
20.What is your Religion?
21.What is your ethnic group?
22.Do you have any of the following long-standing conditions?
Complete Survey