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Out-Patient 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.

This survey is anonymous to provide us with feedback and recommendations. If you have any concerns or complaints, please speak directly to the nurse in charge (on the ward) or someone in the team looking after you.
Click 'NEXT' to start answering the survey.

Which service did you access at LOROS Outpatient?

Lymphoedema

Doctors Clinic

Pain Consultant Clinic

MND Clinic

Counselling

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

Out-Patient Survey Form

Section 2

LOROS Environment and You

7. Please use this space to provide any comments about LOROS' environment

NOTE: Please do not identify yourself or our staff

Out-Patient Survey Form

Section 3

LOROS Staff and You

11. Please use this space to provide any comments about LOROS' staff

NOTE: Please do not identify yourself or our staff

Out-Patient Survey Form

Section 4

Finally, your thoughts and rating

12. How likely are you to recommend LOROS to others?

13. a. I particularly liked

b. It would have been better if

14. How do you rate your overall care at LOROS?