Intensive Care Visitors Questionnaire
We appreciate you taking the time to give feedback. Your responses will help us to find ways to improve our services for patients and visitors.
1.
Which ward are you visiting?
Penrose - General
Pencarrow - Neuro
Torrington - Cardiac
2.
Have you received the following? Please tick all tick all that apply.
Information booklet about the unit
An update from the Nurse
An update from the Doctor
Advice on infection control whilst visiting.
3.
How much do you agree with the following: The information booklet is useful / relevant.
Strongly agree
Agree
Disagree
Strongly disagree
4.
The reception team were welcoming.
Strongly agree
Agree
Disagree
Strongly disagree
5.
My request for a Doctor was accommodated.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / not required.
6.
My concerns and questions have been answered
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / not required.
7.
Staff have explained equipment, procedures and tests, where appropriate.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know
8.
I have been supported by staff.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know
9.
My relative / friend is receiving high quality care.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know
10.
My relative / friends privacy and dignity are respected.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know
11.
Staff communicate well with patients.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know.
12.
The unit is clean
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know.
13.
Hand washing / hand gel facilities are accessible
Strongly agree
Agree
Disagree
Strongly disagree
I don't know
14.
We have been offered privacy as a family when needed.
Strongly agree
Agree
Disagree
Strongly disagree
Not required / not applicable
15.
The toilets are accessible and clean
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know.
16.
I have been able to access refreshments when needed
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / not required.
17.
The waiting area is clean and tidy
Strongly agree
Agree
Disagree
Strongly disagree
I don't know
18.
The visiting hours are reasonable
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable / I don't know.
19.
Do you have any comments, suggestions or feedback you would like to give?