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Have your say to help us understand what we’re doing well and where we can improve the care we provide.

Which team are you offering feedback for?

Which team are you offering feedback for?

1. Do you consider yourself:

2. How likely are you to recommend our service to friends and family if they needed similar care or treatment?

3. Could you help us understand why you gave us that score? Your comments are really helpful.

4. Is there anything specific that we, as a team, could improve on?

5. Please consider answering some questions about you. These help us to monitor experience based on important characteristics such as age, gender, ethnicity and disability.

6. Which of the following age brackets best describes your current age?

7. Which of the following best describes your gender?

8. Is your gender the same as the sex you were assigned at birth?

9. Which of the following best describes your ethnicity?

10. Do you consider yourself to have a disability (either physical or mental)?

11. Do you have a diagnosis of a neurodevelopmental disorder such as autism?

We would like to include actual comments (anonymised) from this survey in our Trust materials. Would you be happy for your comments to be used?

If you would be interested in using your experience to help improve our services in the future, please provide your name, email address and/or telephone number, and we will contact you about ways you can become involved.

Name

Telephone

Email:

Any details you choose to provide here will only be used to contact you for further input. The confidence and trust of our service users, staff and stakeholders is crucial to the delivery of the highest quality health care services. The lawful and correct processing of personal data is a key part of building and maintaining that trust.

Please tick on the box below to confirm you are a real person.

Click on the button below when you are happy to send your feedback to us.