Sexual Health service patient feedback

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* 1. Date of attendance

date

Date

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* 2. Who have you seen today?

Nurse

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* 3. How would you rate the quality of the service you received at your appointment?

Excellent

Good

Average

Poor

Very poor

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* 4. What was the main reason for attending today?

You needed emergency contraception

You had a contraceptive device fitted (coil or implant)

You wanted to discuss contraception options

Other

Other (please specify)

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* 5. What did you think of how long you had to wait for your appointment after booking it?

Too long

About right

You needed an emergency appointment

Other

Other (please specify)

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* 6. How did you find out about the Sexual Health service?

I have used the service before

I was told about it by my GP surgery

On the Sexual Health website

Social media

I was told by a friend

Other

Other (please specify)

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* 7. How likely are you to recommend the GP Access Service to friends and family if they needed the similar care or treatment?

Extremely Likely

Likely

Neither Likely or unlikely

Unlikely

Extremely unlikely

Dont Know

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* 8. Please state which ethnic group you consider yourself to be?

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* 9. If you have any suggestions, or there is anything you would like us to know about your experience of attending the Sexual Health Service today- good or bad- please tell us here: