Thrive (MMHS) Patient Satisfaction Survey

1. Do you give consent to your feedback, or a short section of it, being shared anonymously on our Instagram page? However you answer this, it will not affect your care in any way

Yes No

We are always trying to improve the quality of the service we provide. To help us do this we would be grateful if you could give us your views regarding the service you have received from us. Your views are very important to us, so we can understand where we need to make improvements and be more helpful. This questionnaire should take no longer than 20 minutes to complete, and you are under no obligation to participate. The information you provide will remain anonymous.

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

Very good Good Neither good nor poor Poor Very poor Not applicable / don’t know

3. What was good about your experience?

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GP Specialist Midwife Bereavement Midwife Health Visitor Counsellor IAPT Perinatal Specialist Service Other

6. If other, please state who

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Appropriate Not appropriate Don’t know / Not sure I would prefer a self-referral option to be available in the future I would have preferred someone else to make the referral (please state)

9. Who would you have preferred to refer you?

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Very satisfied Somewhat satisfied Neither (neutral) Unsatisfied Very unsatisfied Don’t know / Not sure

12. Please make further comments if you would like to:

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Very satisfied Somewhat satisfied Neither (Neutral) Unsatisfied Very unsatisfied Don’t know / Not sure

14. Please make further comments if you would like to:

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Very comfortable Comfortable Neither comfortable or uncomfortable Uncomfortable Very uncomfortable Don’t know / Not sure

16. Please make further comments if you would like to:

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Very much Much Neither (neutral) Not much Not much at all Don’t know / Not sure

18. Please make further comments if you would like to:

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Very well Well Not too well Not well at all I didn’t ask any (not applicable) Don’t know / Not sure

20. Please make further comments if you would like to:

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Very well Well Not too well Not well at all Don’t know / Not sure Not Applicable

22. Please make further comments if you would like to:

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Very involved Involved Neither Not too involved Not involved at all Don’t know / unsure

24. Please make further comments if you would like to:

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It improved a lot It improved a little It stayed about the same / no change It made it a little worse It made it a lot worse Don’t know / unsure Not Applicable

26. Please make further comments if you would like to:

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28. Please provide here any further comments you would like to make (these could include any areas not covered above / improvements or changes you would make to the service, or things that you found particularly helpful or useful etc.):

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29. If you would like to help and support us in developing the Thrive service in other areas of Kent and Medway in the future, please fill in your name and contact details below. (N.B. these contact details will be kept separately to your answers above, to maintain anonymity of answers given within the survey).

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To ensure that all members of our local communities are experiencing fair and satisfactory services from KMPT we would like to ask you to share some personal information about yourself. Sharing personal information will not affect the care that you or your loved one receive, but it will help us to deliver services that recognise and meet your needs.

30. Which of the following best describes your sexual orientation?

Heterosexual / Straight Gay / Lesbian Bisexual I would prefer not to say Any other orientation, please write in here:

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31. What is your religion?

No religion Buddhist Christian Hindu Jewish Muslim Sikh I would prefer not to say Any other religion, please write in here:

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32. Do you have any physical or mental health conditions, disabilities or illnesses that have lasted or are expected to last for 12 months or more?

Yes No I would prefer not to say

33. If yes, does this reduce your ability to carry out day-to-day activities?

Yes, a lot Yes, a little No, not at all

34. At birth were you registered as

Male Female Intersex I would prefer not to say

35. Is your gender the same as the sex you were registered as at birth?

Yes No, please write your gender below I would prefer not to say

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What is your ethnic group?

36. a. White

English / Welsh / Scottish / Northern Irish / British Irish / Gypsy or Irish Traveller Roma

37. b. Mixed / multiple ethnic groups

White and Black Caribbean White and Black African White and Asian

38. c. Asian British

Indian Pakistani Bangladeshi Chinese

39. Black / African / Caribbean / Black British

African Caribbean Arab

40. e. Other ethnic group

Arab Any other ethnic group, please write in here:

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41. How old are you?

Under 18 19 - 29 30 - 39 40 - 59 60 - 80 80+

42. Please tick this box if you do not wish your comments to be made public

Don't allow my comments to be made public