Audiology - The Hearing Centre Adult Survey
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Available Languages
Referral Form
Medical History
Alerts
Important Information
is required
Date
Date is required
Friends and Family Test
is required
Thinking about your recent visit or appointment, Overall how was your experience of our service?
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Thinking about your recent visit or appointment, Overall how was your experience of our service? is required
Care and Treatment
is required
My specific problems and needs were addressed?
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My specific problems and needs were addressed? is required
I had opportunities to ask questions throughout my appointment?
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I had opportunities to ask questions throughout my appointment? is required
Any questions I had were answered clearly?
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Any questions I had were answered clearly? is required
The Audiologist explained everything to me in a way that I could understand?
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The Audiologist explained everything to me in a way that I could understand? is required
If any tests or procedures were carried out, were they explained to you?
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If any tests or procedures were carried out, were they explained to you? is required
Were you treated with Privacy, Dignity and Respect whilst attending the Audiology Department?
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Were you treated with Privacy, Dignity and Respect whilst attending the Audiology Department? is required
Staff
is required
Audiology staff were friendly and helpful?
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Audiology staff were friendly and helpful? is required
Audiology staff were caring and listened to my concerns?
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Audiology staff were caring and listened to my concerns? is required
Did the Audiology staff introduce themselves?
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Did the Audiology staff introduce themselves? is required
Information
is required
Did you receive adequate information within your appointment letter?
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Did you receive adequate information within your appointment letter? is required
Accessibility
is required
The department was easy to get in touch with?
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The department was easy to get in touch with? is required
I was satisfied with the length of time I waited for my appointment?
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I was satisfied with the length of time I waited for my appointment? is required
The appointment was convenient for me to get to?
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The appointment was convenient for me to get to? is required
I was satisfied with the length of time I waited on the day of the appointment?
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I was satisfied with the length of time I waited on the day of the appointment? is required
Surroundings
is required
Reception staff were friendly and helpful?
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Reception staff were friendly and helpful? is required
The waiting area was comfortable, clean and tidy?
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The waiting area was comfortable, clean and tidy? is required
The appointment room was comfortable, clean and tidy?
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The appointment room was comfortable, clean and tidy? is required
Overall Satisfaction
is required
Overall I was pleased with the service I received?
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Overall I was pleased with the service I received? is required
Please provide any comments and suggestions for improvements:
Please provide any comments and suggestions for improvements: is required
Please tick this box if you do not wish your comments to be made public