MTW Friends & Family Test outpatient

We would like you to think about your experience in the outpatient department during this visit.

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* 1. Please tell us which outpatient clinic you attended?

Fetal Assessment Unit, Maidstone Hospital

Maternity Day Assessment Unit, Maidstone Hospital

Ante Natal Clinic, Maidstone Hospital

Fracture Clinic, Maidstone Hospital

Orthopaedic Clinic, Maidstone Hospital

Upper GI Clinic, Maidstone Hospital

Breast Clinic, Maidstone Hospital

Colorectal Clinic, Maidstone Hospital

Neurology Clinic, Maidstone Hospital

Rheumatology Clinic, Maidstone Hospital

Respiratory Clinic, Maidstone Hospital

Cardiology Clinic, Maidstone Hospital

Haematology Clinic, Maidstone Hospital

Care of the Elderly Clinic, Maidstone Hospital

Endocrine Clinic, Maidstone Hospital

Diabetes Clinic, Maidstone Hospital

Oncology Clinic, Maidstone Hospital

Gynaecology Clinic, Maidstone Hospital

Ophthalmology Clinic, Maidstone Hospital

ENT Clinic, Maidstone Hospital

Urology Clinic, Maidstone Hospital

Short Stay Day Case Surgery, Maidstone Hospital

Fracture Clinic, Tunbridge Wells Hospital

Orthopaedic Clinic, Tunbridge Wells Hospital

Upper GI Clinic, Tunbridge Wells Hospital

Breast Clinic, Tunbridge Wells Hospital

Colorectal Clinic, Tunbridge Wells Hospital

Urology Clinic, Tunbridge Wells Hospital

Vascular Clinic, Tunbridge Wells Hospital

Endocrine Clinic, Tunbridge Wells Hospital

Care of the Elderly Clinic, Tunbridge Wells Hospital

Haematology Clinic, Tunbridge Wells Hospital

Cardiology Clinic, Tunbridge Wells Hospital

Respiratory Clinic, Tunbridge Wells Hospital

Neurology Clinic, Tunbridge Wells Hospital

Rhematology Clinic, Tunbridge Wells Hospital

Ophthalmology Clinic, Tunbridge Wells Hospital

ENT Clinic, Tunbridge Wells Hospital

Ante Natal Clinic, Tunbridge Wells Hospital

Short Stay Day Case Surgery, Tunbridge Wells Hospital

Diabetes Clinic, Abbey Court

Ophthalmology Clinic, Medway Hospital

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* 2. How likely are you to recommend this outpatient department to friends and family, if they needed similar care or treatment?

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

Don't know

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* 3. What was good about your care, and what could be improved?

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* 4. What would have made your visit better?

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* 5. My age is:

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* 6. I am:

Male

Female

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* 7. Do you have any of the following long-standing conditions?

Deafness or severe hearing impairment

Blind or partially sighted

A long-standing physical condition

A learning disability

A mental health condition

A long-standing illness, such as cancer, HIV, diabetes, chronic heart disease, or epilepsy

I do not have a long-standing condition

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* 8. What is your ethnic group?

White

Mixed / Multiple Ethnic Groups

Asian / Asian British

Black / African / Caribbean / Black British

Other Ethnic Group