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* 1. Do you have a disability or are you a carer of someone with a disability?

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* 2. Have you had contact with or attended Ryde Hospital?

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* 3. What was the nature of your visit?

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* 4. Please rate your experience with the health service regarding:

  Very unsatisfied Unsatisfied Neutral Satisfied Very satisfied  N/A
Your overall treatment and care
The professional conduct of staff
How staff communicated with you
Whether you were able to access medication when needed
Whether you could access the service when needed
How staff explained and obtained your consent
The organisation of appropriate discharge or transfer arrangements
Access to medical records when needed
Information about the complaints process
Responses to complaints

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* 5. Did the health professionals explain things in a way that you could understand?

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* 6. Were you involved, as much as you wanted to be, in decisions about your care and treatment?

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* 7. When the health professionals spoke about your care in front of you, were you included in the conversation?

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* 8. Were you treated with respect and dignity while in hospital?

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* 9. Please provide any additional feedback about your experience

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