-
Have all your needs been assessed?
□ All of my needs have been assessed
□ Almost all my needs have been assessed
□ Some of my needs have been assessed
□ Few of my needs have been assessed
□ None of my needs have been assessed
-
Were you as involved as you wanted to be in decisions about your care and support?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Was your family or carer as involved in decisions about your care and support as you wanted them to be?
-
Overall, do you feel that your carer/family received support from health and social services as needed?
-
Did health and social care staff tell you what will happen next?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
When health or social care staff planned care or treatment for you, did it happen?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Were your care and support reviewed as they should be?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Was your medication thoroughly reviewed as it should be?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Did you know who to contact if you needed to ask questions about your condition or treatment?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
If you had questions, could you contact the people treating and caring for you?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Did all the different people treating and caring for you work well together to give you the best possible care and support?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Did health and social care services help you live the life you want?
□ Completely
□ A lot
□ Moderately
□ A little
□ Hardly
-
Did health and social care staff give you information about other services that are available to someone in your circumstances, including support organisations’?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Was information given to you at the right time?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Was information provided in a way that you could understand?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
Could you meet/phone/email a professional when you needed to ask more questions or discuss the options?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
-
If you still needed contact with previous services/professionals, would it be possible?
□ Always
□ Often
□ Sometimes
□ Rarely
□ Never
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