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


Childrens FFT Survey
Borough
Service
Which service did you attend?
TRUST REPORTING STRUCTURE
Where was your appointment?
Are you:

Thinking about your recent visit
1Overall, how was your experience of our service?
Very goodGoodNeither good nor poorPoorVery poorDon't know
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2What is the main reason for your answer?
3What did you find most helpful from your care?
4What could we do better?
5If you would like to tell us more about your experience, please tick this box and complete your contact details below:
YesNo

Tell us more about yourself so that we can make your feedback even more valuable.
6My/my child’s ethnicity:
BlackAsianMixedWhiteOther (please state)
7My/my child’s age:
0-45-1112-1617-2122+
8My gender:
MaleFemaleNon-binary
9Is your child’s 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

Complete Survey