Audiology Satisfaction Questionnaire
General
We are writing to you because you were recently seen in the Audiology department. We hope that you are satisfied with the service that you received from us and would value your feedback so that we can evaluate the service we provide and make any necessary improvements. If you are happy to do so please complete this form and return it to us in the envelope provided, please note that all feedback received will be completely anonymous unless you choose to leave your contact details.
If you are having problems with your hearing aids and would like to be seen please phone us on 01803 656325 to make an appointment
This information can be made available in other formats. If you need it in: Large print, Braille, Audio, a language other than English, Total Communication format (for people with a learning difficulty), or if you have any concerns or queries regarding this questionnaire please contact us on the above number.
Please indicate your satisfaction with various aspects of our service by ticking the answer which most applies to you. If there are any questions that do not apply or that you cannot remember the answer to please leave these blank.