We want to provide the best experience possible for patients, your feedback will help us to improve the service we provide. All responses are anonymous. Thinking about your recent appointment…………………..

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* 1. Overall, how was your experience of the Stoma service?

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* 2. Please tell us why you gave your answer

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* 3. Please tell us which clinic you have visited today

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* 4. Did staff listen to you and act on what you told them?

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* 5. Did staff treat you with compassion?

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* 6. Please tell us how the Stoma clinic being held in the community is beneficial to you

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* 7. Please tell us what we do well

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* 8. Please tell us what we could improve

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* 9. Do you consent to your anonymous responses being shared/made public?

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* 10. Today's date

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