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Access Sefton – Post-assessment Patient Experience Questionnaire

Access Sefton – Post-assessment Patient Experience Questionnaire

Please help us to improve Access Sefton by answering the questions below about the service you have received so far. We are interested in hearing your opinions, whether they are positive or negative.

Please answer all of the questions. We also welcome any comments and suggestions you have.

Your full name (required)

Your date of birth

Were you given information about options for choosing a treatment that is appropriate for your problems?

Do you prefer any of the treatments among the options available?

Have you been offered your preference?

How satisfied were you with your assessment?
Completely satisfiedMostly satisfiedNeither satisfied nor dissatisfiedNot satisfiedNot at all satisfied

Please use this space to tell us about your experience of our service so far:

If you prefer, you can download a copy of this assessment feedback questionnaire and return it by email to cwp.AdminAccessSefton@nhs.net or send by fax to (0151) 922 5729.

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