Thank you for taking your time to answer the following questions following your surgery / consultation under Mr Harish Kurup, Consultant Foot & Ankle surgeon at Pilgrim Hospital or Bostonian Private Wing. This only be used for improvements in our practice and for GMC revalidation purposes and will remain confidential. No personal details will be collected which can be used to identify you during this process.

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* 1. Tell us about yourself?

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* 2. What is your gender?

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* 3. What treatment did you have under Mr Kurup ?

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* 4. Regarding your outpatient consultation please rate Mr Kurup

  No answer Unsatisfactory Satisfactory Excellent
Did he introduce himself?
Did he listen to you ?
Did he spend enough time with you ?
Were his explanations clear ?
Did he answer your questions ?

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* 5. Regarding your surgery please rate Mr Kurup

  No answer Unsatisfactory Satisfactory Excellent
Did he explain the procedure while doing consent ?
Did he explain the possible risks/ complications ?
Did he explain about the recovery / rehabilitation ?
Did he answer your questions ?
Was the post operative care adequate ?

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* 6. Regarding other healthcare professionals in Mr Kurup's team please comment here.

  No answer Unsatisfactory Satisfactory Excellent
Clinic staff
Nurses on ward
Staff in Theatres
Other doctors
Anesthetist
Mr Kurup's secretary

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* 7. Based on your experience will you consider / recommend Mr Kurup

  No answer Yes No
For yourself in future ?
For your friends / relatives ?

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* 8. Do you have any other comments, questions, suggestions or concerns?

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* 9. Please provide your email address. ( only if you want to be identified ) ( your email will not be used for any marketing purposes)

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