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REPORT A PROBLEM

Patient Feedback

At the ISEH we aim to provide the highest standard of care for every patient and a quality service for our visitors.  

To help us measure our level of achievement we would be grateful if you would take a few moments during your visit to complete this questionnaire.  

We regard your opinions and comments as extremely valuable and we use them to identify areas of success and opportunities for improvement.  

Thank you for your valuable contribution

About Your Visit

  • Yes
  • No

  • Yes
  • No

About You

  • Male
  • Female

  • Male
  • Female

  • 0-16
  • 17-24
  • 25-40
  • 41-64
  • over 65

  • 0-16
  • 17-24
  • 25-40
  • 41-64
  • over 65

  •  

  • Insured
  • Self Pay
  • NHS
  • Other

  • Insured
  • Self Pay
  • NHS
  • Other

Taking everything into account

  • Yes
  • No

  • Yes
  • No

We would like you to think about your overall experience in the clinic during your visit:

  • Extremely likely
  • Likely
  • Neither
  • Unlikely
  • Extremely unlikely
  • Don't Know

  • Extremely likely
  • Likely
  • Neither
  • Unlikely
  • Extremely unlikely
  • Don't Know

  •  

First Impressions

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

Communication

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

Consultants

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

Staff (Department Reception)

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

Staff (Clinical)

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

Radiology (Where applicable)

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

  • Excellent
  • Very Good
  • Good
  • Fair
  • Poor

Comments

  •