Questionnaire: Patient Experience Survey of Stroke Patients

Stroke Survey

This is a survey for people who have had RECENT experiences of stroke services – ie within the last year
1
Please indicate who is completing this questionnaire?
Select one
 
2
At which hospital did you receive treament?
 
3
Which clinics do you attend?
 
4
If you rang 999 for an ambulance how long did it take for an ambulance to arrive?
 
5
What day of the week were you admitted to hospital
Tick all that apply
 
6
Which Accident and Emergency Department or Medical Assessment Unit were you taken to?
Select one
 
7
Were you seen by a stroke nurse in the A and E or Medical Assessment Unit?
Select one
 
8
How soon after arriving at A and E or Medical Assessment Unit did you have a scan?
 
 
How soon after arriving at A and E or Medical Assessment Unit did you have Thrombolysis (if required)?
 
9
When were you first told that you had had a stroke?
Select one
 
10
What type of ward were you on for most of your hospital stay?
Select one
 
11
When you had important questions to ask a doctor, did you get answers that you could understand?
Select one
 
12
When you had important questions to ask nursing staff, did you get answers that you could understand?
Select one
 
13
Were you involved as much as you wanted to be in decisions about your care and treatment in hospital?
Select one
 
14
Was enough information given to you about your condition and treatment in a language you could understand?
Select one
 
15
If you needed help from staff in getting to the toilet or in providing a bedpan did you get it in time?
Select one
 
16
If you needed help from staff in eating your meals did you receive help when you needed it?
Select one
 
17
If you needed help from staff with brushing your teeth or other dental care did you receive it?
Select one
 
18
If you needed help from staff with washing yourself did you get help when you needed it?
Select one
 
19
If you needed help from staff with bathing did you get help when you needed it?
Select one
 
20
If you needed help from staff with showering did you get help when you needed it?
Select one
 
21
While you were in hospital did you get enough help with speech and communication problems?
Select one
 
22
While you were in hospital did you get enough treatment to help improve your mobility? e.g. washing, dressing or walking
Select one
 
23
While you were in hospital did you get enough help and support with any emotional issues which might be affecting you (such as confusion, depression or crying)?
Select one
 
24
Before you left hospital were you given enough information about any medication you needed to take? (eg what it was for, how and when to take it, any possible side effects)
Select one
 
25
Did hospital staff tell you who to contact if you were worried about your condition or treatment after you left hospital?
Select one
 
26
Did hospital staff give you any information about national stroke organisations or local voluntary and support groups?
Select one
 
27
Were there enough services available to help improve your condition when you left hospital? (eg occupational therapy, physiotherapy, speech therapy)
Select one
 
28
Overall, how would you rate the care you received during your hospital stay?
Select one
 
29
Is there anything which would have improved your care or treatment during your stay in hospital?