Patient Feedback Step 1 of 2 50% Satisfaction SurveyYour 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.*Stongly agreeAgreeDisagreeStrongly disagreeThe information given at your initial enquiry was helpful and informative.*Stongly agreeAgreeDisagreeStrongly disagreeThe documents sent before your first consultation were clear and easy to understand.*Stongly agreeAgreeDisagreeStrongly disagreeThe documents sent prior to your surgery were clear and easy to understand.*Stongly agreeAgreeDisagreeStrongly disagreeYou were given the appropriate information when needed.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the overall service that you received.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the hospital environment.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the hospital parking facilities.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with members of staff at the hospital.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the punctuality of your appointment.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the length of your appointment.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the information given at the appointment.*Stongly agreeAgreeDisagreeStrongly disagree Hospital ratingsWhich hospital(s) did you attend?* 52 Alderley Road Spire Alexandra Wrightington 52 Alderley RoadHow would you rate this hospital (0-10) ?012345678910SpireHow would you rate this hospital (0-10) ?012345678910AlexandraHow would you rate this hospital (0-10) ?012345678910WrightingtonHow would you rate this hospital (0-10) ?012345678910Please use the space below for any comments or suggestions you feel would be beneficial in improving the service we offer.* Δ Patient Feedback This questionnaire asks about your shoulder pain and its impact on your lifestyle. We use this as a tool to achieve a better understanding of how your shoulder is affecting you and ultimately improves the service that we offer you. Step 1 of 2 50% Satisfaction SurveyYour 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.*Stongly agreeAgreeDisagreeStrongly disagreeThe information given at your initial enquiry was helpful and informative.*Stongly agreeAgreeDisagreeStrongly disagreeThe documents sent before your first consultation were clear and easy to understand.*Stongly agreeAgreeDisagreeStrongly disagreeThe documents sent prior to your surgery were clear and easy to understand.*Stongly agreeAgreeDisagreeStrongly disagreeYou were given the appropriate information when needed.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the overall service that you received.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the hospital environment.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the hospital parking facilities.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with members of staff at the hospital.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the punctuality of your appointment.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the length of your appointment.*Stongly agreeAgreeDisagreeStrongly disagreeYou were happy with the information given at the appointment.*Stongly agreeAgreeDisagreeStrongly disagree Hospital ratingsWhich hospital(s) did you attend?* 52 Alderley Road Spire Alexandra Wrightington 52 Alderley RoadHow would you rate this hospital (0-10) ?012345678910SpireHow would you rate this hospital (0-10) ?012345678910AlexandraHow would you rate this hospital (0-10) ?012345678910WrightingtonHow would you rate this hospital (0-10) ?012345678910Please use the space below for any comments or suggestions you feel would be beneficial in improving the service we offer.* Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.