Neurological Health Service Experience Survey

We want to know what you thought of your most recent encounter with your local NHS health service about your neurological condition. This could be, for example, an appointment with your Neurologist, doctor at the outpatients' clinic, a Specialist Nurse or with a Physiotherapist or Speech and Language Therapist. This does not include an appointment with your GP.

This appointment must have happened within the last 12 months.

The responses you give will help to improve your local adult NHS Neurology Services. The Neurological Alliance of Scotland is an independent umbrella organisation of charities and groups representing people with neurological conditions. Your individual responses will be completely confidential and will not be shared with the health professionals who look after you.

Instructions

The questions should be answered by the person who attended the health service. A friend or carer can help you complete the survey but the answers should be yours not theirs.

The survey is easy to answer and takes approximately 15 minutes to complete. Please answer all questions. For each question, please place a tick in the box next to the answer that most closely matches your own experience.

Don't worry if you make a mistake, you can re-enter your answer before going on.

Question Title

* 1. The person completing this survey is:-

Question Title

* 2. Do you have any of the following?

Question Title

* 3. How long have your had your neurological condition?

Question Title

* 4. Are you male or female?

Question Title

* 5. What was your age on your last birthday?

Please answer in full years only.

Question Title

* 6. Please state when your last appointment was:

Question Title

* 7. Please state where your last appointment was:

Question Title

* 8. Who was your last appointment with?

Question Title

* 9. How long after the stated appointment time did the appointment start?

Question Title

* 10. If you waited longer than 30 minutes, did you receive an explanation for the delay?

Question Title

* 11. Think of the person with whom you had your last appointment. How much do you agree or disagree with the following?

Please tick ONE box on each line.

  Strongly Agree Agree Neither agree nor disagree Disagree Stongly disagree Not relevant Don't Know / Can't Remember
The person really listened to me
The person fully understood my concerns
The person explained things clearly
The person made a plan of action with me
The person discussed what was most important to me in managing my own health
The person involved me as much as I wanted in decisions about my care and/or treatment
The person considered and addressed my specific needs

T