University Hospitals Bristol Day Case Patient Survey

Would you recommend us?

We would like you to think about your experience in the ward where you spent the most time during this stay.

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* 1. Please write in the ward number or ward name that you stayed in:

Question Title

* 2. How likely are you to recommend our ward 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. Please can you tell us the main reason for the answer you gave in question 2?

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* 4. Please write in the date you were discharged from hospital:

Discharge date :

Date