Feedback - Complaints/Compliments: Difference between revisions

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{{#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 [] *
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| Your Department/Organisation/Surgery []
| Your Department/Organisation/Surgery []
| Patient NHI (if applicable) []
| Patient NHI (if applicable) []
| Details, please include as much detail as possible: [textarea=2000]  *
| Details. Please include as much information as possible, examples and dates/times are helpful in tracing specific incidents: [textarea=5000]  *
}}
}}
|
|

Latest revision as of 00:37, 19 August 2022

We appreciate and encourage feedback from our customers, in order to continually improve our services.

Please enter details below
I am a:
  • Clinician
  • Nurse
  • Patient
  • Other
0/5000 characters
Was there a negative patient outcome as a result of this incident?
  • Yes
  • No (Near miss)
Would you like to receive feedback on the outcome of this?
  • Yes
  • No