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Single Queue Diagnostics (SQD) Patient Questionnaire

Why are we asking for your feedback?
For some procedures in Greater Manchester, you might be offered an appointment at a different hospital. This is so we can offer you a sooner appointment than your local hospital can provide. This is called a single queue, and we would like to know how it works for you. Your feedback helps us understand whether it is convenient for you, saves time and meets your needs. Your answers are anonymous.
1.Which test did you have? (Tick one box)
2.What is your postcode?
3.Which hospital first told you that you needed this test? (Tick one box)
4.Which hospital did you have your test at? (Tick one box)
5.Were you given a choice of where and when to have your appointment?
6.Did you accept the soonest appointment offered to you for your test?
7.If you didn’t accept the soonest appointment, what was the reason? (Tick one box)
8.Would travel costs be a barrier to you having an appointment at a more distant hospital?
9.If yes, were you offered support with your travel costs to a more distant hospital?
10.How did you get to your appointment?
11.Were you given the travel and parking information you needed for your appointment?
12.If no to the above question, please explain:
13.How would you rate your local hospital’s communication about what to expect at your appointment?
14.If poor or very poor, please tell us why:
15.Did you receive a patient information leaflet about your procedure before your appointment?
16.When you need an urgent appointment, what matters to you most?
17.When you need a non-urgent appointment, what matters to you most?
18.Is there anything you would like to say about your experience?
19.What is your age?
20.What is your ethnicity?
21.What is your sex?
22.Is your sex the same sex assigned at birth?
23.Do you have a disability?
24.We are keen to hear about you experience if you are happy to be contacted by a team member, please provide your contact details below