Carers Survey
How would you rate your family/friend/service user's appointment today, based on the attitude and helpfulness of the reception staff?
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5
Poor
Excellent
1 is Poor, 5 is Excellent
How would you rate you family/friend/service user's appointment today, based on the clinic environment and accessibility?
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5
Poor
Excellent
1 is Poor, 5 is Excellent
How would you rate your family/friend/service user's appointment today, based on the waiting time for your patients appointment?
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5
Poor
Excellent
1 is Poor, 5 is Excellent
How would you rate your family/friend/service user's appointment today, based on how well the clinician listened to you and/or your patient?
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5
Poor
Excellent
1 is Poor, 5 is Excellent
How would you rate your family/friend/service user's appointment today, based on how well the clinician explained the patients treatment
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5
Poor
Excellent
1 is Poor, 5 is Excellent
Overall, how was your experience with Community Eyecare?
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Very Good
Good
Satisfactory
Poor
Very Poor
Unsure
Would you like to share any further comments about your patient experience?
Are there any changes that you think would improve the service for carers?
Please let us know of any areas of dissatisfaction so that we can act on this and make improvements to the service we offer
Which clinic did you attend?
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We would like to be able to include anonymous comments from our patients and carers in our marketing communications. Would you be happy for Community Eyecare to use your comments in this way?
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Yes
No
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