University Hospitals Birmingham NHS Foundation Trust

Diabetic Eye Screening - Patient satisfaction survey

This survey is anonymous and strictly confidential, and will only be used to improve your screening service. However if you wish to discuss your thoughts directly please contact 0121 424 3173 or email birmingham.retinal@nhs.net

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* 1. How would you rate the availability of screening sites in your area?

Excellent

Good

Average

Poor

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* 2. How would you rate the availability of screening appointments at your chosen screening site?

Excellent

Good

Average

Poor

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* 3. Please state which screening site you attended?

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* 4. How long did you have to wait to get an appointment?

Under 1 week

1-2 weeks

2-3 weeks

3-4 weeks

4+ weeks

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* 5. Overall, how satisfied are you with your Diabetic Eye Screening?

Excellent

Good

Average

Poor

Question Title

* 1. How would you rate the availability of screening sites in your area?

Question Title

* 2. How would you rate the availability of screening appointments at your chosen screening site?

Question Title

* 3. Please state which screening site you attended?

Question Title

* 4. How long did you have to wait to get an appointment?

Question Title

* 5. Overall, how satisfied are you with your Diabetic Eye Screening?

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* 6. Do you have any thoughts on how we could improve?