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Patient Experience Questionnaire

Your feedback will help us to make sure that we are offering the best possible experience for you and the people who are important to you. Thank you for taking the time to complete our patient experience questionnaire.

Patient Experience Questionnaire

1. How likely are you to recommend our services to friends and family if they need similar care or treatment?
Extremely likely Likely Neither likely nor unlikely Unlikely Don't know
2. Please can you tell us the main reason for the answer given?
3. Were your wishes and preferences taken into account when decisions were made about your care?
- Yes
- No
4. Were you treated with dignity and respect by Weldmar staff and volunteers?
- Yes
- No
5. Were Weldmar staff and volunteers kind and caring?
- Yes
- No
6. Did you feel Weldmar Hospicecare made a difference to you?
- Yes
- No
7. Comments
Please tell us anything else you would like us to know:
Personal details
Please provide your contact details if you would like us to contact you regarding anything raised in this questionnaire
Your name
First Last
Your contact number/s
Your email address
Share your views
We find it helpful to be able to share comments about our services with the general public - for example in our newsletter or our fundraising literature. Your personal details will not be made public
Do you consent to your views being shared with the general public?*
- Yes
- No
Healthwatch Dorset
And finally, are you happy for us to share your views with Healthwatch Dorset? (Healthwatch Dorset is the new independent consumer champion created to gather and represent the views of the public. For more information, go to http://www.healthwatchdorset.co.uk or call 0300 111 0102) .
Do you consent to your views being shared with Healthwatch Dorset?*
- Yes
- No

Patient Experience Questionnaire

Patient Experience Questionnaire

Personal details

Share your views

Healthwatch Dorset

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