Outpatient Survey

Clinician/Consultant:

Q3. Are you: Male or Female

Q4. How would you describe your ethnic group?

Q5. Did we notify you how your personal information is managed and protected whilst you are under our care?

Q6. Overall, how was your experience of our service?

Q8. Did you find your waiting time in the clinic reasonable?

Q9. Did the SSS Consultant have the time to advise you, answer your questions and explain the benefits and the risks of your treatment?

Q10. Did the outpatient nursing staff respond promptly and compassionately throughout your visit?

Q11. Did we provide you with enough information regarding your onward care?

Q12. Are your day to day activities limited because of a health problem or disability which has lasted, or is expected to last at least 12 months?

Q13. How would you rate your experience today?

Q14. Did the SSS administration team respond to your requests in a helpful and prompt manner?

Q15. How did you first come to know about SSS?

Q16. What made you choose SSS?

Please tick the box if you DO NOT want your comments to be made public.