Friends and Family Test Form Online | Humber Teaching NHS Foundation Trust

* denotes required fields

Introduction

Welcome to the Friends and Family Test. Here you can help us to improve our services by:

Telling us what has gone well
Telling us what has not gone well
Telling us how to make things better

Please answer the questions below to the best of your ability.

Please note: questions marked with an * are mandatory questions which must be completed to submit your response.

Please confirm the Team Code for the service you attended *

Submitter

You are a *

Patient
Other

If you selected 'Other' from the above options, please specify here:

Which of the following best describes your ethnic background? *

White (British/Irish/Other)
Mixed (White and Black Caribbean/Black African/Asian/Other)
Asian or Asian British (Indian/Pakistani/Bangladeshi/Other)
Black or Black British (Carribbean/African/Other)
Chinese/Other Ethnic Group

Age

How we did

Think about all the times we have seen you. Were we: *

Why did you choose this answer?

Friendly and helpful

Were we friendly and helpful?

Yes
Sometimes
No

Information you needed

Did we give you all the information that you needed?

Yes
Sometimes
No

Make you feel safe

Did we make you feel safe when we saw you?

Yes
Sometimes
No

Suitable location

Did we see you in a place that worked well for you?

Yes
Sometimes
No

The way you wanted to be treated

Did we treat you the way you wanted to be treated?

Yes
Sometimes
No

You were a part of making choices

Did you feel you were a part of making choices about your care?

Yes
Sometimes
No

Understood you

Did you feel like we listened and understood you?

Yes
Sometimes
No

Enough time

Did we give you enough time?

Yes
Sometimes
No

Your comments

What did we do well?

What could we do better?

Please tick here if you are happy for your comments to be made public.

Thank you for completing the survey. For questions about the NHS Friends & Family Test, please email us at hnf-tr.patientandcarerexperience@nhs.net