982
edits
Feedback - Complaints/Compliments: Difference between revisions
Feedback - Complaints/Compliments (view source)
Revision as of 00:37, 19 August 2022
, 00:37, 19 August 2022no edit summary
No edit summary |
No edit summary |
||
| (6 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
{{#CI form: title = Please enter details below | We appreciate and encourage feedback from our customers, in order to continually improve our services.{{#CI form: title = Please enter details below | ||
| data-access = sysop | | data-access = sysop | ||
| | | | ||
{{#CI form section: type = inputs | |||
| title = I am a: | |||
| type = multiple choice | |||
| Clinician | |||
| Nurse | |||
| Patient | |||
| Other | |||
}} | |||
{{#CI form section: type = inputs | {{#CI form section: type = inputs | ||
| Your Name [] * | | Your Name [] * | ||
| Line 8: | Line 16: | ||
| Your Department/Organisation/Surgery [] | | Your Department/Organisation/Surgery [] | ||
| Patient NHI (if applicable) [] | | Patient NHI (if applicable) [] | ||
| Details | | Details. Please include as much information as possible, examples and dates/times are helpful in tracing specific incidents: [textarea=5000] * | ||
}} | }} | ||
| | | | ||
| Line 15: | Line 23: | ||
| type = multiple choice | | type = multiple choice | ||
| Yes | | Yes | ||
| No | | No (Near miss) | ||
}} | }} | ||
{{#CI form section: type = inputs | {{#CI form section: type = inputs | ||