Patient Questionnaire

Your Feedback makes a difference

We hope that you are thoroughly satisfied with the treatment you received from the Gynaechoice team. As we are constantly monitoring and refining the services we offer, we would greatly appreciate you sparing a moment to complete our short questionnaire.

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About You



1.

Age

Under 25 26-35 36-45 46-55 Over 55

2.

When choosing a clinic how would you rate the importance of the following:

Facilities 1 2 3 4 5
Treatment Range 1 2 3 4 5
Appointment availability 1 2 3 4 5
Price 1 2 3 4 5
Location 1 2 3 4 5
 
Not Important Quite Important Very Important

3.

How did you find out about Gynaechoice?

General internet search GP referral Consultant referral
Local directories Magazine/press Ask friends/family

Other

4.

If you were looking for a healthcare service what channels would you use?

General internet search Social media (Facebook/Twitter) Local directories
Magazine/press Ask friends/family

Other

5.

Distance travelled from home to Gynaechoice

Under 5 miles 5-10 miles 10-20 miles 20+ miles

Your journey with Gynaechoice



Initial Contact

6.

How would you rate the following:

Ability to get through on the phone 1 2 3 4 5
Appointment Availability 1 2 3 4 5
Friendliness 1 2 3 4 5
Efficiency 1 2 3 4 5
 
Not very good Good Very good

Consultation

7.

How would you rate the following:

Explanation of treatment options available 1 2 3 4 5
Consultants approach & professionalism 1 2 3 4 5
 
Not very good Good Very good

Treatment

8.

How would you rate the following:

Explaining the process/risks of your treatment 1 2 3 4 5
Our response to any queries/concerns 1 2 3 4 5
Quality of written literature explaining your surgery 1 2 3 4 5
 
Not very good Good Very good

9.

How was your treatment funded?

NHS Private Medical insurance Self-pay


Post-treatment

10.

How would you rate the following:

Our response to any post-operative queries/concerns 1 2 3 4 5
Quality of post-operative advice 1 2 3 4 5
 
Not very good Good Very good

Post-operatively, was it necessary for you to...

...be re-admitted to overnight? Yes No
...contact your GP? Yes No
...be seen again in Outpatients at the Nuffield Hospital? Yes No

If yes to any of the above, at what time period after surgery does any of the above refer to?


General

11.

How would you rate the following:

Professional attitude 1 2 3 4 5
Facilities and atmostphere 1 2 3 4 5
Service of nursing staff 1 2 3 4 5
Overall satisfaction 1 2 3 4 5
 
Not very good Good Very good


12.

Would you recommend Gynaechoice to a friend?

Yes No