Patient Satisfaction Survey
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Step 1
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Step 2
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Step 3
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Step 4
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Step 5
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Step 6
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Step 7
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Step 8
Step 1
Location
Please select
Chelsea and Westminster
Darent Valley Hospital
Events
GMEC Manchester
GOSH Renal
Hillingdon
Kingston
Mental Health Services
Mount Vernon
NWAS Manchester
OXLEAS
Queen Elizabeth Hospital
Royal Hospital for Neuro-Disability
South West London Renals
St Georges
St Pancras
University Hospital Lewisham
Vita Healthcare
Wales
West Middlesex
Yorkshire
Your Appointment
What did you use HATS Group Patient Transport Service for?
Select
Attending an outpatient/Inpatient appointment
Attending a dialysis appointment
To return home/nursing home after a stay in hospital
Transfer to another Care Facility
Which hospital or care facility were you travelling to/from?
How often do you use patient transport services?
Select
Weekly
Fortnightly
Quarterly
6-Monthly
Annually
Did you receive a phone call from HATS Group the day before your appointment confirming your travel needs?
Yes
No
Were your records updated as a result of your call?
Yes
No
Have you used HATS website to look for information or access services?
Yes
No
Did you wait more than 90 minutes to be taken home from your outpatient appointment?
Yes
No
Did HATS Group get you to your care facility in time for your appointment?
Yes
No
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Step 2
How did you find the HATS staff member that collected you:
Polite and courteous?
Excellent
Very Good
Good
Satisfactory
Poor
Demonstrate Kindness and compassion?
Excellent
Very Good
Good
Satisfactory
Poor
Make you feel at ease?
Excellent
Very Good
Good
Satisfactory
Poor
Communicated with you appropriately?
Excellent
Very Good
Good
Satisfactory
Poor
Privacy and Dignity respected?
Excellent
Very Good
Good
Satisfactory
Poor
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Step 3
Demonstrate a caring attitude?
Excellent
Very Good
Good
Satisfactory
Poor
Safety
Make you feel safe and comfortable?
Excellent
Very Good
Good
Satisfactory
Poor
Were you able to raise any concerns you had?
Yes
No
Not Applicable
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Step 4
Communication
Understood what the staff member was telling me
Yes
No
Regularly informed if travel is disrupted
Yes
No
Not Applicable
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Step 5
Cleanliness
Cleanliness of the vehicle
Excellent
Very Good
Good
Satisfactory
Poor
Cleanliness of the equipment used
Excellent
Very Good
Good
Satisfactory
Poor
Cleanliness of the waiting area
Excellent
Very Good
Good
Satisfactory
Poor
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Step 6
Consent and Confidentiality
Did HATS keep your personal information safe?
Yes
No
Is there anyone from HATS Group that deserves special recognition? (OPTIONAL)
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Step 7
Thank you for taking your time to complete the survey
Do you have any comments or suggestions in how we can improve our service?
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Step 8
About You
If you are helping someone to complete this questionnaire, please make sure this is information about the service user not your own
We are committed to fostering diversity and inclusion. Your participation is voluntary, and the information provided is solely for a better understanding our community and our service users.
Your privacy is paramount, and all data will be handled confidentially.
Your privacy is paramount, and all data will be handled confidentially
How old are you? (OPTIONAL)
Select
Under 16
17-18
18-24
25-34
35-44
45-54
55-64
65-74
75-64
75-84
85 or over
What is your gender? (OPTIONAL)
Select
Male
Female
Non-binary
Prefer to self describe
Prefer not to say
Which of the following best describes your sexual orientation? (OPTIONAL)
Select
Heterosexual/Straight
Bisexual
Gay or Lesbian
Other
Prefer not to say
Which if any of the following best describes your religion? (OPTIONAL)
Select
No religion
Buddhist
Christian (all denominations)
Hindu
Jewish
Muslim
Sikh
Other
Prefer not to say
Which ethnicity best describes you? (OPTIONAL)
Select
WHITE English/Welsh/Scottish/Northern Irish/British
WHITE Irish
WHITE Gypsy, Traveller or Irish Traveller
Any other WHITE background
MIXED White and Black Caribbean
MIXED White and Black African
MIXED White and Asian
Any other MIXED/MULTI ETHNIC background
ASIAN Indian
ASIAN Pakistani
ASIAN Bangladeshi
ASIAN Chinese
Any other ASIAN background
BLACK African
BLACK Caribbean
Any other BLACK/AFRICAN/CARIBBEAN background
OTHER Arab
Any OTHER ethnic group
Prefer not to say
Can HATS GROUP contact you about your comments/feedback?
Yes
No
Please confirm you agree with
our privacy policy
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