Neurological Health Service Experience Survey
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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.
1. The person completing this survey is:-
2. Do you have any of the following?
3. How long have your had your neurological condition?
4. Are you male or female?
5. What was your age on your last birthday?

Please answer in full years only.
6. Please state when your last appointment was:
7. Please state where your last appointment was:
8. Who was your last appointment with?
9. How long after the stated appointment time did the appointment start?
10. If you waited longer than 30 minutes, did you receive an explanation for the delay?
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 AgreeAgreeNeither agree nor disagreeDisagreeStongly disagreeNot relevantDon'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
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