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Outbreak Response Service survey
Following your recent experience, we would be extremely grateful if you could take just a few minutes to share your views. This helps us to ensure that we are meeting our patients needs and continually improving our patient care.
1.
Please confirm which Care Home / Nursing Home you are giving feedback from.
2.
Are you happy with the outcome to the outbreak?
Yes
No
3.
If no, why?
*
4.
How well did the Outbreak Response Team communicate with you?
(Required.)
Very well
Well
Poorly
Very poorly
*
5.
Overall how was your experience of our service:
(Required.)
Very good
Good
Poor
Very poor
6.
Please provide us with any general feedback about your experience.
