Patient Experience Questionnaire These questions are based on the things that patients have said matter most to them. We would be grateful if you could answer them in relation to your most recent experience of the health service. Thinking about your overall first impressions of the service How often do you feel you were treated with courtesy and respect? Never Sometimes Usually Always How often do you feel that you were: Listened to? Never sometimes Usually Always Treated as Never Sometimes Usually Always an individual? Given all the Never Sometimes Usually Always information you need? How often do you feel you were given enough privacy? Never Sometimes Usually Always From the time you realised you needed to use this service, do you feel you had to wait: A long time Longer than A little longer than A short time needed needed Thinking the environment where you received your care How often was the environment you were in clean? Not clean at Not very Fairly clean Very clean Not all clean applicable How often did you see staff clean their hands before they cared for you? Sometimes Usually Always Don’t know How often did you feel the environment had everything you needed? Never Sometimes Usually Always If you asked for assistance, how often: Did you get Never sometimes Usually Always it?
Patient Experience Questionnaire These questions are based on the things that patients have said matter most to them. We would be grateful if you could answer them in relation to your most recent experience of the health service. Thinking about your overall first impressions of the service How often do you feel you were treated with courtesy and respect? Never Sometimes Usually Always How often do you feel that you were: Listened to? Never sometimes Usually Always Treated as an individual? Never Sometimes Usually Always Given all the information you need? Never Sometimes Usually Always How often do you feel you were given enough privacy? Never Sometimes Usually Always From the time you realised you needed to use this service, do you feel you had to wait: A long time Longer than needed A little longer than needed A short time Thinking the environment where you received your care How often was the environment you were in clean? Not clean at all Not very clean Fairly clean Very clean Not applicable How often did you see staff clean their hands before they cared for you? Sometimes Usually Always Don’t know How often did you feel the environment had everything you needed? Never Sometimes Usually Always If you asked for assistance, how often: Did you get it? Never sometimes Usually Always
patientquestionnaireeng.docx