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Day Therapy Survey Form
Your feedback is central to continued improvement of our services so we can offer high quality of care. We are collecting and using data in accordance with the
LOROS privacy notice
. Please contact the LOROS Information Commissioner at dataprotection@loros.co.uk or 0116 231 3771 if you have any concerns. Click START to continue.
Section 1
Your care at LOROS
We will not ask you to identify yourself in the survey. To maintain the privacy of our staff we request you DO NOT IDENTIFY them by name.
We want you to please rate your satisfaction/score based on your experience with us.
Click 'NEXT' to start answering the survey.
Which service did you access with LOROS Community?
Day Therapy
Wellbeing
1. The welcome you received at LOROS was polite and friendly
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
2. Staff treated me as a whole person rather than focusing only on my condition
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
3. My individual spiritual, religious and cultural needs were met
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
4. Please use this space to provide any comments about the care you received at LOROS
NOTE: Please do not identify yourself or our staff
Day Therapy Survey Form
Section 2
LOROS Environment and You
5. The Day Therapy rooms are comfortable and clean
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
6. The outdoor spaces e.g. garden area and car parking are peaceful and accessible
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
7. Please use this space to provide any comments about LOROS' environment
NOTE: Please do not identify yourself or our staff
Day Therapy Survey Form
Section 3
LOROS Staff and You
8. I was able to talk to the staff about things that mattered most to me
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
9. I trust staff with my care
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
10. Staff treated me with dignity, respect and privacy
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
11. Please use this space to provide any comments about LOROS' staff
NOTE: Please do not identify yourself or our staff
Day Therapy Survey Form
Section 4
Finally, your thoughts and rating
12. How likely are you to recommend LOROS to others?
Extremely likely
Somewhat likely
Not very likely
Not at all likely
Extremely likely
Somewhat likely
Not very likely
Not at all likely
13. a. I particularly liked
b. It would have been better if
14. How do you rate your overall care at LOROS?
Confirmation
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