Exit this survey Family and Friends Satisfaction Questionnaire Question Title As someone whose relative/friend is currently under the care of Cygnet Health Care we would be most grateful to take a few moments to complete this satisfaction questionnaire. The information you provide will enable us ensure that the services we provide are of a high standard.This form can be completed anonymously if you prefer. Question Title 1. Name (optional) Question Title 2. Service user's initials (optional) Question Title 3. Please state the name of the hospital and ward where your friend or family member is being cared for: Hospital Ward Hospital / Ward Beckton Bierley Blackheath Brighouse Bury Coventry Derby Ealing Godden Green Harrogate Harrow Kewstoke Lewisham Maidstone Sheffield Stevenage Taunton Westlands (Kenton) Woking (Hospital) Woking (Lodge) Wyke Hospital / Ward Hospital menu Acorn Alvaston Anderson Ariel Austen Bannu Bearsted Bewick Bowling Branwell Bridge Hampton Bronte Buttercup Byron Castle Chamberlain Columbus Denholme Dunsmore East Hampton EDU - Sunrise Fairfax Greenacre Griffin Hansa Haven Hooper Kingswood Knightstone Knole Litchurch Lodge Lower East Lower West Madison Meridian Middlemarch Milton Mulberry Nash New Dawn Nightingale Oaktree Orchid Pattison Pegasus Peplau Picasso Primrose Redwood Riverhill Roseacre Saltwood Sanctuary Sandford Saunders Shelley South Hampton Spencer Springs Centre Springs Unit Springs Wing Starling Swift Sycamore Tiffany Tyler Upper East Upper West West Hampton Wizard House Wyvern Hospital / Ward Ward menu Question Title 4. How satisfied are you that you were identified as a relevant person with an important caring role early in your friend or family member's admission? Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Comments: Question Title 5. How satisfied are you that you received appropriate information about Cygnet when your friend or family member was admitted, or shortly afterwards? Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Comments: Question Title 6. How satisfied are you that staff at the hospital have catered to any specific needs you may have as a carer? These may include cultural, religious or various practical needs. Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied N/A Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied N/A Comments: Question Title 7. How satisfied are you that you know who to contact to express any concerns you may have about your friend or family member? This could include the ward manager, the named nurse, the social worker, etc. Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Comments: Question Title 8. How satisfied are you that you had the opportunity to tell the care team about how your friend or family member used to be before they became unwell (or how they are when they seem to be coping well)? Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Comments: Question Title 9. How satisfied are you that you that you have been able to tell the care team about your hopes and expectations for a positive outcome for your friend or family member? Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied N/A Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied N/A Comments: Question Title 10. How satisfied are you that the care plans and medication management plans of your friend or family member have been explained to you? Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied N/A Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied N/A Comments: Question Title 11. Are you aware of how to make a complaint if you needed to? Yes No Question Title 12. How satisfied are you that staff are polite and approachable when you phone or visit? Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Extremely Satisfied Very Satisfied Somewhat Satisfied A Little Satisfied Not Satisfied Comments: Question Title 13. How likely are you to recommend the hospital to others who need this type of care? Extremely Likely Very Likely Likely Not Very Likely Unlikely Extremely Likely Very Likely Likely Not Very Likely Unlikely Comments: Question Title 14. Cygnet want to support the families and friends of our service users. If you have any ideas how we can improve the support that we provide to you please comment below. Thank you for taking the time to complete the Family and Friends Satisfaction Questionnaire. Done