Audiology outpatient survey

1.Where did you attend your appointment?(Required.)

West Middlesex University Hospital

Feltham Centre for Health

Whitton Corner Health & Social Care Centre

2.Were you happy with information provided before (eg. appointment letter) and during (eg. Explanations by staff / hearing aid guidance book) your examination?(Required.)

Very clear and understandable

Somewhat clear and understandable

Not clear or understandable at all

Before

Very clear and understandable

Somewhat clear and understandable

Not clear or understandable at all

During

Very clear and understandable

Somewhat clear and understandable

Not clear or understandable at all

If you answered 'Not clear or understandable at all', please tell us why?

3.How would you rate the reception and waiting area at your audiology appointment?(Required.)

Very clean and tidy

Somewhat clean and tidy

Not clean and tidy

Any further comments?

4.How long did you have to wait after your booked appointment time?(Required.)

I was seen earlier than my booked time

I was seen on time

I was seen within 15 minutes of my booked time

I was seen within 15 to 30 minutes of my booked time

If you had to wait more than 30 minutes after your booked time, how long did you wait?

5.When you were called in, did you feel respected and spoken to politely by the Audiology staff member?(Required.)

Yes

No

Respected?

Yes

No

Politely spoken to?

Yes

No

If you answered no, please tell us why?

6.Did you feel that the Audiology staff member clearly explained the purpose of your appointment to you in a way that was easily understood?(Required.)

Easily understood

Somewhat understood

Not understood at all

Any further comments?

7.If your appointment today was about a problem with your hearing aid, did we offer you an appointment within two working days and did we resolve the problem?(Required.)

9.Can you think of any other suggestions we can do to improve the service?