Hillinigdon CCG Patient Feedback Survey for Pressure Relieving Equipment

The CCG would like to invite you to participate in a study to help find out what people think is important to them when it comes to the provision of their community air mattresses and cushions and subsequent maintenance. Please note the study focusses on your interaction with the service and maintenance provider and not the assessment itself. Thank you in advance your contribution to this study.

If you have any comments about the way your care is currnelty provided or what you would like to see in the future and you would like to speak to someone independent of the CCG you could contact Hillingdon Healthwatch on 01895 272997.

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* 1. We need to confirm who is completing the survey. Are you:

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* 2. What is the age of the person using the service

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* 3. What is your gender

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* 4. What is your ethnicity

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* 5. When did you last have contact with the service provider

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* 6. Was the contact for a new mattress/cushion or maintenance

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* 7. Are you happy with the service provider

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* 8. What is important to you

  Not important Important Very important
Choice in choosing the mattress/cushion
Help when the equipment is delivered/and user manual
Help with the fitting process
Access to maintenance in evening
Access to maintenance at weekend

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* 9. Free Questions

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