0502 Paediatric Audiology Survey Online Forms Current User: Not Logged In
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Paediatric Audiology Survey
Your child was recently assessed by the Audiology Department. We hope you are satisfied with the service that yourself and your child received from us. We would value your feedback so that we can evaluate the service we provide and make any improvement if necessary.

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. Your responses will not affect the service you receive.
About your child
1. How old is your child?
Pre-school
School age
Thinking about the phone consultation prior to bringing your child into Audiology:
2. Was the phone consultation arranged at a convenient time for you?
3. Did you feel listened to on the call?
4. Did you feel your concerns/questions were addressed
  during the call?
5. Did you feel you were given enough information over the phone
    about the face to face appointment?
Yes
No
Don't Know
Thinking about the face to face part of your child's hearing assessment:
6. Did you encounter any problems with the booking of the face to face
    appointment?
7. Were you and your child treated with kindness and respect?
8. Was everything explained to you in a way you could understand?
9. Have you been given clear information to help to understand/manage
    your child's condition?
10. Do you know who to contact and how to contact them if you have any
    further questions or concerns?
Yes
No
Don't Know