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Minor surgery/operation feedback

Minor Surgery/Operation Feedback Survey
Required fields are labelled
Who are you completing this form for?
For example, on behalf of a child or dependent
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you

Survey

How long did you wait between being referred and having the procedure done? Required
How do you rate the parking facilities at the surgery? Required
How close to your appointment time were you seen? Required
How well was the procedure explained to you? Required

Please rate any pain or discomfort you experienced using the following descriptions:

During the procedure: Required
After the procedure: Required
Overall, how would you rate the service you received? Required