1. Who did you see in the perineal clinic today?

Rebecca Hardcastle (Consultant) Lisa Else/ Sylwia Barzycka (Midwife)

2. How do you feel about the timing of your appointment?

Good Average Poor

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3. How did you feel about the location of the clinic?

Good Average Poor

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4. What treatment did you receive during your appointment?

Advice and counselling Silver nitrate treatment Flaminal dressing Endonal Ultrasound Nerve block injections Other

5. Did we fulfil your expectations?

Yes No

6. What did we do well?

7. What could we do better?

8. Do you know how to contact us in the future?

Yes No

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

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