| Thinking about your recent visit... |
| 1 | Overall, how was your experience of our service?
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| 2 | Please tell us the reason for your selection:
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| 3 | In your opinion, how clean was the hospital room or ward your child was in?
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| 4 | Were you and your child treated with respect and dignity by staff?
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| 5 | Were staff caring and compassionate in their approach?
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| 6 | Did staff explain what they were doing in a way that you and your child could understand?
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| 7 | Did you find someone on the hospital staff to talk to about your worries and fears?
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| 8 | Did you feel that staff took your concerns seriously? Please provide more information below.
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| 9 | Were you involved as much as you wanted to be in decisions about your child’s care and treatment?
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| 10 | Was your child given enough privacy when discussing his or her condition or treatment?
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| 11 | Was your child given enough privacy when being examined or treated?
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| 12 | Was the environment child-friendly?
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| 13 | Were there appropriate play activities for your child?
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| 14 | How was the choice of food during your hospital stay?
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| 15 | How was the taste and quality of the food?
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| 16 | How old is your child?
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| 17 | Were the portion sizes of your child’s meal appropriate?
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| 18 | Overall, how would you rate yours and your child’s experience of Ward F1?
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| 19 | Please include any other comments or suggestions you may have.
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