Your Views on Lincolnshire Partnership NHS Foundation Trust Services

Healthwatch North Lincolnshire is seeking to gather service users' experiences of Lincolnshire Partnership NHS Foundation Trust services over the past 12 months and would appreciate you taking the time to provide feedback.

All information is confidential and findings will be anonymised when presented in any report which provides an analysis of the research. If you would like to receive a copy or would like to take part in more surveys then you will need to provide contact details.

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* 1. Which Lincolnshire Partnership NHS Foundation Trust service is your feedback about?

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* 2. Whilst receiving care and treatment from this service, how safe did you feel?

Very safe

Fairly safe

Fairly unsafe

Very unsafe

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* 3. How effective was the treatment you received from this service?

Very effective

Fairly effective

Not effective at all

I did not receive any treatment

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* 4. Which of the following best describes the staff that cared for you whilst using this service?

They were very caring

The care provided was acceptable

There was a lack of care

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* 5. If you raised an issue or concern, how responsive was the service?

Very responsive to my needs

Helpful but limited

Not responsive to my needs

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* 6. Please add any further detail about your experience below:

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* 7. We would like to anonymously share your experiences with those who provide these services. If you give permission for this, please tick below:

I give Healthwatch North Lincolnshire permission to share my experience with service providers.

I do not give Healthwatch North Lincolnshire permission to share my experience with service providers.

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* 8. Would you like to take part in more surveys? If so, please leave your contact details at the end of this page.

Yes, I would like to take part in more surveys.

No, I would not like to take part in more surveys.

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* 9. Would you like a copy of the report? If so, please leave your contact details and the end of this page.

I would like you to send me a copy of the report.

I would not like a copy of the report.

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* 10. Contact Details:

Name

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

Thank-you for sharing your health and social care experience with us!