Modality Mid Sussex - Friends & Family Survey
Thinking about the appointment you have just had, please tell us how you feel by completing the following short survey:
*
1.
Practice name?
(Required.)
Crawley Down Health Centre
Judges Close Surgery
Park View Health Partnership
Ship Street Surgery
*
2.
How much effort was made to help you understand your health issues?
(Required.)
4 - Every effort was made.
3 - A lot of effort was made.
2 - Some effort was made.
1 - A little effort was made.
0 - No effort was made.
*
3.
How much effort was made to listen to the things that matter most to you about your health issues?
(Required.)
4 - Every effort was made.
3 - A lot of effort was made.
2 - Some effort was made.
1 - A little effort was made.
0 - No effort was made.
*
4.
How likely are you to recommend the care you received to friends and family if they needed similar care or treatment?
(Required.)
4 - Extremely Likely
3 - Likely
2 - Neither Likely or Unlikely
1 - Unlikely
0 - Very Unlikely
*
5.
Is there anything else you would like to tell us?
(Required.)
