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Patient Feedback - Smoking Cessation
Your feedback is important to us. Your anonymous responses are reviewed by our senior leadership team to help us understand what’s working well and where we can improve our services.
Your experience - please rate your experience (1 star = poor, 5 stars = excellent):
1.
Appointment type
Individual support
Group peer support
2.
Did the support help you feel more confident about quitting smoking?
Yes
No
Other (please specify)
3.
Did you receive enough information about stop smoking aids such as nicotine replacement therapy, vapes, or medication options?
Yes
No
Other (please specify)
4.
Being seen in a timely way
(1 star = poor, 5 stars = excellent)
Poor
1 star
2 stars
3 stars
4 stars
Excellent
5 stars
5.
Friendliness and respect from staff
Poor
1 star
2 stars
3 stars
4 stars
Excellent
5 stars
6.
The information received was easy to understand
Poor
1 star
2 stars
3 stars
4 stars
Excellent
5 stars
7.
Feeling safe during your visit
Poor
1 star
2 stars
3 stars
4 stars
Excellent
5 stars
*
8.
Overall, how would you rate your experience?
(Required.)
Poor
1 star
2 stars
3 stars
4 stars
Excellent
5 stars
*
9.
Would you recommend this service to a friend or family member if they needed it?
(Required.)
Yes
No
10.
Do you have any questions or comments for our team?
