Patient Information

InHealth, the provider of the London NHS Diagnostic Service, would like to contact you to discuss your experience with the service. This information may then be used to develop marketing material. Please provide your name and contact number if you consent to us contacting you and using the information you provide for marketing purposes. Thank you.

About you

Are you? Male Female

Name

Phone

Age group? 0-14 15-34 35-54 55-74 over 75

Which site did you attend?

What was the purpose of your visit today?
Audiology MRI ECG Ultrasound ECHO Cardiogram Xray Blood Pressure Endoscopy Phlebotomy (blood test)

Before the appointment

Were you given a choice of appointment times?
Yes No, but I didn’t need/want a choice No, but I would have liked a choice Can’t remember

How long did you have to wait for this appointment?
within 3 days 4-7 days 8-10 days 10 days +

Did this meet your expectations?
Yes No, preferred longer No, preferred shorter

How did you rate the information you received prior to your test?
Excellent Very Good Good Fair Poor

On arrival

Were you greeted promptly and courteously? Yes No

How close to your appointment time were you seen?
On time 15 min 20 min 25 min 30 min 30 min +
Were you kept informed if your test was delayed? Yes No

Your treatment

Were you given all the privacy you needed during your test?
Yes, completely Yes, to some extent No

Were the procedures and next steps explained in a way you could understand?
Yes, completely Yes, to some extent No

Did you feel you were given all the time and the attention you needed?
Yes, completely Yes, to some extent No

Did a member of staff tell you how you would find out the results of your test(s)?
Yes No Can't remember

Taking everything into account

How would you rate:

The staff during your visit? Excellent Very Good Good Fair Poor

The standards of the facility? Excellent Very Good Good Fair Poor

The cleanliness of the facility? Excellent Very Good Good Fair Poor

The overall quality of the service? Excellent Very Good Good Fair Poor

Do you have any comments or suggestions?

Registered No. 05509197. Registered Office: .
Beechwood Hall, Kingsmead Road, High Wycombe, Buckinghamshire HP11 1JL.

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Also see: www.inhealthgroup.com and www.nhspetctsouth.com