Inpatient Survey

English

Patient survey

Your answers are confidential. We do not ask for your name or NHS number.

1. Thinking about your recent stay in the hospital, overall how was your experience of our service?

Very good Good Neither good nor poor Poor Very poor Don't know

Notes

2. What was good about your experience of care? and what could be improved?

4000 characters remaining

Can we share your comment publicly (for example, on our website or printed material such as posters)?

Yes No

Notes

3. Do you feel staff treated you with kindness?

Yes, always Yes, sometimes No

Notes

4. We would like to ask you some more questions about your experience. Are you happy to continue?

Yes No - finish the survey

Notes

5. How much information about your condition or treatment was given to you?

Right amount Too much Not enough I was not given any information about my condition or treatment

Notes

6. During your stay, were you provided with food and drink appropriate to your needs when you needed it?

I did not need hospital food No Yes always Yes, sometimes

Comment 4000 characters remaining

7. Did you feel you were involved in decisions about your discharge?

Yes, definitely Yes, to some extent No I did not want to be involved

Notes

Thank you for your feedback. We have a few more questions. These are optional.

You can choose which ones to answer. This helps us learn about your experience. This helps us improve things for everyone.

8. What is your gender?

Man (including trans man) Woman (including trans woman) Prefer to self-describe Prefer not to say

Notes

9. What age are you?

0-7 8-11 12-15 16-24 25-34 35-44 45-54 55- 64 65-74 75-84 85+ Prefer not to say

Notes

10. Is your gender the same as your sex registered at birth?

Yes No Prefer not to say

Notes

11. Do you consider yourself to have a disability or a long-term condition?

Yes No Prefer not to say

Notes

12. What is your ethnic group?

White Mixed ethnic group Asian or Asian British Black or Black British Other ethnic group Prefer not to say

Notes

Patient survey

Your answers are confidential. We do not ask for your name or NHS number.

1. Thinking about your recent stay in the hospital, overall how was your experience of our service?

2. What was good about your experience of care? and what could be improved?

Can we share your comment publicly (for example, on our website or printed material such as posters)?

3. Do you feel staff treated you with kindness?

4. We would like to ask you some more questions about your experience. Are you happy to continue?

5. How much information about your condition or treatment was given to you?

6. During your stay, were you provided with food and drink appropriate to your needs when you needed it?

7. Did you feel you were involved in decisions about your discharge?

Thank you for your feedback. We have a few more questions. These are optional.

8. What is your gender?

9. What age are you?

10. Is your gender the same as your sex registered at birth?

11. Do you consider yourself to have a disability or a long-term condition?

12. What is your ethnic group?

Submit