Patient Feedback

Satisfaction Survey

Your Name

First Last

Date of birth

Tick the box that applies to you the most.

Your initial enquiry was dealt with in a polite and efficient manner.*

The information given at your initial enquiry was helpful and informative.*

The documents sent before your first consultation were clear and easy to understand.*

The documents sent prior to your surgery were clear and easy to understand.*

You were given the appropriate information when needed.*

You were happy with the overall service that you received.*

You were happy with the hospital environment.*

You were happy with the hospital parking facilities.*

You were happy with members of staff at the hospital.*

You were happy with the punctuality of your appointment.*

You were happy with the length of your appointment.*

You were happy with the information given at the appointment.*