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PATIENT FEEDBACK QUESTIONNAIRE

All of the questions on this form are taken from the GMC-approved Patient Feedback Questionnaire, created by the Royal College of Anaesthetists

All doctors are expected to seek feedback on a regular basis from those they work with and treat. Information from patients, relatives and friends is an important part of this process. The feedback will be reviewed and acted upon where appropriate.

In responding to each question please tick the box that most represents your situation or viewpoint. You also have the opportunity to state what your Anaesthetist did particularly well, or anything he or she could improve on. The answers you give should only be about today’s consultation with your Anaesthetist.

You will not be identified when your answers are given back to your Anaesthetist.

This survey should take less than 5 minutes to complete