Customer Satisfaction Survey

We're committed to monitoring the quality of the services and products we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (All submissions are anonymous.)

	Excellent	Good	Adequate	Poor	Unacceptable	N/A
Quality of website	Quality of website Excellent	Quality of website Good	Quality of website Adequate	Quality of website Poor	Quality of website Unacceptable	Quality of website N/A
Ease of reaching staff by phone	Ease of reaching staff by phone Excellent	Ease of reaching staff by phone Good	Ease of reaching staff by phone Adequate	Ease of reaching staff by phone Poor	Ease of reaching staff by phone Unacceptable	Ease of reaching staff by phone N/A
Convenience of car park	Convenience of car park Excellent	Convenience of car park Good	Convenience of car park Adequate	Convenience of car park Poor	Convenience of car park Unacceptable	Convenience of car park N/A
Ease of finding where you should go in the Hospital	Ease of finding where you should go in the Hospital Excellent	Ease of finding where you should go in the Hospital Good	Ease of finding where you should go in the Hospital Adequate	Ease of finding where you should go in the Hospital Poor	Ease of finding where you should go in the Hospital Unacceptable	Ease of finding where you should go in the Hospital N/A
Cleanliness of the Hospital	Cleanliness of the Hospital Excellent	Cleanliness of the Hospital Good	Cleanliness of the Hospital Adequate	Cleanliness of the Hospital Poor	Cleanliness of the Hospital Unacceptable	Cleanliness of the Hospital N/A
Comfort and safety while waiting	Comfort and safety while waiting Excellent	Comfort and safety while waiting Good	Comfort and safety while waiting Adequate	Comfort and safety while waiting Poor	Comfort and safety while waiting Unacceptable	Comfort and safety while waiting N/A
Quality of catering (if in-patient)	Quality of catering (if in-patient) Excellent	Quality of catering (if in-patient) Good	Quality of catering (if in-patient) Adequate	Quality of catering (if in-patient) Poor	Quality of catering (if in-patient) Unacceptable	Quality of catering (if in-patient) N/A
Quality of catering (if visitor or out-patient)	Quality of catering (if visitor or out-patient) Excellent	Quality of catering (if visitor or out-patient) Good	Quality of catering (if visitor or out-patient) Adequate	Quality of catering (if visitor or out-patient) Poor	Quality of catering (if visitor or out-patient) Unacceptable	Quality of catering (if visitor or out-patient) N/A
Keeping to appointment times	Keeping to appointment times Excellent	Keeping to appointment times Good	Keeping to appointment times Adequate	Keeping to appointment times Poor	Keeping to appointment times Unacceptable	Keeping to appointment times N/A
Friendliness and courtesy shown to you by staff	Friendliness and courtesy shown to you by staff Excellent	Friendliness and courtesy shown to you by staff Good	Friendliness and courtesy shown to you by staff Adequate	Friendliness and courtesy shown to you by staff Poor	Friendliness and courtesy shown to you by staff Unacceptable	Friendliness and courtesy shown to you by staff N/A
Responding promptly to problems	Responding promptly to problems Excellent	Responding promptly to problems Good	Responding promptly to problems Adequate	Responding promptly to problems Poor	Responding promptly to problems Unacceptable	Responding promptly to problems N/A
Being kept informed if there are delays	Being kept informed if there are delays Excellent	Being kept informed if there are delays Good	Being kept informed if there are delays Adequate	Being kept informed if there are delays Poor	Being kept informed if there are delays Unacceptable	Being kept informed if there are delays N/A
Answers to your questions	Answers to your questions Excellent	Answers to your questions Good	Answers to your questions Adequate	Answers to your questions Poor	Answers to your questions Unacceptable	Answers to your questions N/A
Privacy	Privacy Excellent	Privacy Good	Privacy Adequate	Privacy Poor	Privacy Unacceptable	Privacy N/A
Availability of educational materials on your treatment or illness	Availability of educational materials on your treatment or illness Excellent	Availability of educational materials on your treatment or illness Good	Availability of educational materials on your treatment or illness Adequate	Availability of educational materials on your treatment or illness Poor	Availability of educational materials on your treatment or illness Unacceptable	Availability of educational materials on your treatment or illness N/A

Excellent

Good

Adequate

Poor

Unacceptable

N/A

Quality of website

Quality of website Excellent

Quality of website Good

Quality of website Adequate

Quality of website Poor

Quality of website Unacceptable

Quality of website N/A

Ease of reaching staff by phone

Ease of reaching staff by phone Excellent

Ease of reaching staff by phone Good

Ease of reaching staff by phone Adequate

Ease of reaching staff by phone Poor

Ease of reaching staff by phone Unacceptable

Ease of reaching staff by phone N/A

Convenience of car park

Convenience of car park Excellent

Convenience of car park Good

Convenience of car park Adequate

Convenience of car park Poor

Convenience of car park Unacceptable

Convenience of car park N/A

Ease of finding where you should go in the Hospital

Ease of finding where you should go in the Hospital Excellent

Ease of finding where you should go in the Hospital Good

Ease of finding where you should go in the Hospital Adequate

Ease of finding where you should go in the Hospital Poor

Ease of finding where you should go in the Hospital Unacceptable

Ease of finding where you should go in the Hospital N/A

Cleanliness of the Hospital

Cleanliness of the Hospital Excellent

Cleanliness of the Hospital Good

Cleanliness of the Hospital Adequate

Cleanliness of the Hospital Poor

Cleanliness of the Hospital Unacceptable

Cleanliness of the Hospital N/A

Comfort and safety while waiting

Comfort and safety while waiting Excellent

Comfort and safety while waiting Good

Comfort and safety while waiting Adequate

Comfort and safety while waiting Poor

Comfort and safety while waiting Unacceptable

Comfort and safety while waiting N/A

Quality of catering (if in-patient)

Quality of catering (if in-patient) Excellent

Quality of catering (if in-patient) Good

Quality of catering (if in-patient) Adequate

Quality of catering (if in-patient) Poor

Quality of catering (if in-patient) Unacceptable

Quality of catering (if in-patient) N/A

Quality of catering (if visitor or out-patient)

Quality of catering (if visitor or out-patient) Excellent

Quality of catering (if visitor or out-patient) Good

Quality of catering (if visitor or out-patient) Adequate

Quality of catering (if visitor or out-patient) Poor

Quality of catering (if visitor or out-patient) Unacceptable

Quality of catering (if visitor or out-patient) N/A

Keeping to appointment times

Keeping to appointment times Excellent

Keeping to appointment times Good

Keeping to appointment times Adequate

Keeping to appointment times Poor

Keeping to appointment times Unacceptable

Keeping to appointment times N/A

Friendliness and courtesy shown to you by staff

Friendliness and courtesy shown to you by staff Excellent

Friendliness and courtesy shown to you by staff Good

Friendliness and courtesy shown to you by staff Adequate

Friendliness and courtesy shown to you by staff Poor

Friendliness and courtesy shown to you by staff Unacceptable

Friendliness and courtesy shown to you by staff N/A

Responding promptly to problems

Responding promptly to problems Excellent

Responding promptly to problems Good

Responding promptly to problems Adequate

Responding promptly to problems Poor

Responding promptly to problems Unacceptable

Responding promptly to problems N/A

Being kept informed if there are delays

Being kept informed if there are delays Excellent

Being kept informed if there are delays Good

Being kept informed if there are delays Adequate

Being kept informed if there are delays Poor

Being kept informed if there are delays Unacceptable

Being kept informed if there are delays N/A

Answers to your questions

Answers to your questions Excellent

Answers to your questions Good

Answers to your questions Adequate

Answers to your questions Poor

Answers to your questions Unacceptable

Answers to your questions N/A

Privacy

Privacy Excellent

Privacy Good

Privacy Adequate

Privacy Poor

Privacy Unacceptable

Privacy N/A

Availability of educational materials on your treatment or illness

Availability of educational materials on your treatment or illness Excellent

Availability of educational materials on your treatment or illness Good

Availability of educational materials on your treatment or illness Adequate

Availability of educational materials on your treatment or illness Poor

Availability of educational materials on your treatment or illness Unacceptable

Availability of educational materials on your treatment or illness N/A

Customer Satisfaction Survey

How Are We Doing?

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* 1. Please rate the following aspects of our service.

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* 2. Overall, how do you rate the quality of the services we provide?

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* 3. What level of confidence do you have in us to deliver the services that you require?

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* 4. Overall, is our performance ...

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* 5. Based on our performance, how likely is it that you will use us in the future?

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* 6. What information would you like to see on our website?