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NHS Wales experience questionnaire

Your NHS Wales Experience Questionnaire
How recent was the experience you are thinking of? *

Thinking about your overall first impressions of the care you received

Did you feel that you were listened to? *
Were you able to speak in Welsh to staff if you needed to? *
From the time you realised you needed to use this service, was the time you waited: *

Thinking about the place where you received your care

Did you feel well cared for? *
If you asked for assistance, did you get it when you needed it? *

Thinking about your understanding and involvement in care

Did you feel you understood what was happening in your care? *
Were things explained to you in a way that you could understand? *
Were you involved as much as you wanted to be in decisions about your care? *

Overall Experience

Using a scale of 0-10, where 0 is very bad and 10 is excellent, how would you rate your overall experience? *

Thinking of your responses

Equality Monitoring

We are committed to ensuring that everyone receives fair and equal respect.

Whatever your age, disability, ethnicity, faith, gender reassignment or sexual identity, you can expect to be treated with dignity. We can only achieve this with your help by providing the information below.

Data will be used for monitoring purposes only and held in the strictest confidence. Your identity will not be disclosed to anyone.

What is your age? *
What is your gender? *
At birth, were you described as: *
Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? *
Which of the following options best describes how you think of yourself? *
What is your religion? (Please choose one option that best describes your religion) *
What is your ethnic group? (Please choose one option that best describes your ethnic group or background) *