Skip to Main Content
Toggle navigation
Menu
Search
Home
Find Activities
We Asked, You Said, We Did
Patient Experience Survey - Day Hospital Concussion - Pre-Clinic
Page 1 of 3
Closes
30 Nov 2023
This service needs
cookies enabled
.
Experience & Satisfaction
1. Q1. Overall, how would you rate the services that you received from the Brain Injury Rehabilitation Service?
Very Good
Good
Adequate
Poor
Very Poor
2. Q2. How satisfied were you with the length of time from your injury to your first appointment with our service?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
3. Q3. How satisfied were you with the length of time from referral to your first appointment with our service?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
4. Q4. How satisfied were you with the initial appointment processes when you first came to see us?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
5. Q5. How satisfied were you with the education you received about your injury & symptoms?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
6. Q6. How satisfied were you with the level of support with returning to usual activities (e.g., leisure, work, study, household tasks)?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
7. Q7. How satisfied were you with your progress towards things you chose to work on in therapy (e.g., learning strategies to manage fatigue, memory or emotions)?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
8. Q8. How satisfied were you with the level of involvement and education provided to your family during?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
9. Q9. How satisfied were you with the discharge processes (e.g., letter back to GP, awareness of avenues of support)?
Extremely Dissatisfied
Dissatisfied
Neither Dissatisfied or Satisfied
Somewhat Satisfied
Extremely Satisfied
10. Q10 What did you find most valuable or what did we do well that we should continue to do?
Comment
11. Q11 Is there anything you did not like, or you think could be changed or improved?
Comment
12. Q12. Do you have any additional comments or is there anything else you would like to tell us about your experience?
Comment
Continue
Save and come back later…