0511 Paediatric Hearing Aid Review Survey Online Forms Current User: Not Logged In
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Paediatric Hearing Aid Review Survey
Your child recently attended the Audiology Department for a reassessment of their hearing. We hope you were satisfied with the service 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 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
Prior to the appointment:
2. Did you encounter any problems with
the booking of the appointment?   
3. Was the appointment arranged at a
convenient time/location for you?     
Yes
No
Don't Know
During the appointment:
4. Did you feel you and your child were listened to?
5. Did you feel your concerns/questions were addressed? 
6. Were you and your child treated with kindness and respect?   
7. Was everything explained in a way you could understand?   
8. Were you given enough information to help understand/
manage your child's condition?
9. Do you know who to contact and how to contact them if you have
any further questions or concerns?
Yes
No
Don't Know