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IQVIA Connection Desktop - Complete Questionnaire
Please complete the form below. Please use the text boxes provided to add any comments.


Wood Green NHS Community Diagnostic Centre
Which service did you visit today?
Date

Wood Green NHS Community Diagnostic Centre
1Overall, how was your experience of our service?
Very goodGoodNeither good nor poorPoorVery poorDon't know
Vet goodGoodNeitherPoorV poorDon't know
2Please can you tell us why you gave your answer?
3Please tell us what we could have done better?
4Do you feel you received enough information before the appointment about what would happen today?
Very goodGoodNeither good nor poorPoorVery poor
Very goodGoodNeitherPoorV poor
5Did you find Wood Green-Community Diagnostic Centre easy to locate?
Very goodGoodNeither good nor poorPoorVery poor
Very goodGoodNeitherPoorV poor
6How would you rate the welcome you received from the Reception Staff?
Very goodGoodNeither good nor poorPoorVery poor
Very goodGoodNeitherPoorV poor
7How would you rate the waiting time for your procedure?
Very goodGoodNeither good nor poorPoorVery poor
Very goodGoodNeitherPoorV poor
8Was your procedure performed on time?
Yes – no issuesNo – minor delayNo – major delay
9Did the member of staff involved introduce themselves and explain the procedure to you clearly?
YesNo
10How did you travel to your appointment?
11As part of the future development of Wood Green CDC, we want to hear more from our patients about their experiences and views of using our services. If you would be willing to share your thoughts with us by joining a Focus Group session, please provide an email address in comments box:

About You
12Please specify your gender
MaleFemalePrefer not to say
13What is your age group?
Under 1616-2425-3435-4445-5455-6465 and overPrefer not to say
14Please state your ethnic group
White - BritishWhite - IrishWhite - OtherBlack - AfricanBlack - CaribbeanBlack - OtherAsian - IndianAsian - BangladeshiAsian - PakistaniAsian - OtherChineseMixed - White and Black CaribbeanMixed - White and Black AfricanMixed - White and AsianMixed - OtherAny other ethnic groupNot Stated
15Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?
Yes, limited a lotYes, limited a littleNoPrefer not to say