IC Chemo Nurse Practitioner Survey 2023 Online Forms Current User: Not Logged In
Bedfordshire Hospitals
NHS Foundation Trust
Patient Satisfaction Survey - Chemotherapy Nurse Practitioner Service 2023
Gender
Male
Female
Date
//
Age
Ethnicity
Asian or
Asian British
Black, Black British,
Caribbean or African
Mixed or multiple
ethnic groups
White
Other ethnic group
Please state ethnic group if Other ethnic group was ticked
Q 1
Did you feel the Chemotherapy Nurse Practitioner  listened to you?
Yes
No
Q 2
Did you feel rushed at your appointment?
Yes
No
Q 3
Did the CNP explain their role and what your appointment was for?
Yes
No
Q 4
Were you able to ask the Chemotherapy Nurse Practitioner questions?
Yes
No
Q 5
Were your queries discussed to your satisfaction?
Yes
No
Q 6
Were you given privacy when discussing your condition and treatment?
Yes
No
Q 7
Did you receive a written summary of your consultation?
Yes
No
Q 8
Was your treatment discussed clearly?
Yes
No
Q 9
Were you satisfied following your appointment with the outcome of the consultation?
Yes
No
Q 10
Was the communication regarding your appointments correct and informative?
Yes
No
Q 11
Were you seen at the time given on your appointment letter?
Yes
No
Q 12
Were you informed if the Chemotherapy Nurse Practitioner clinic was running late?
Yes
No
Please use this space to add your own comments about your experience or any suggestions for improvement