Patient Survey

Did you receive a phone call the day before your appointment from the Transport Team? *

Yes No

Did you arrive prior to your pre-booked appointment time? *

Yes No

How did you find your driver / crew in terms of? *

Excellent Very Good Good Satisfactory Poor
Were they polite?
Did they demonstrate a caring nature?
Did they listen to you?
Did they make you feel safe?
Did they make you feel at ease?

How did you find the cleanliness of the vehicle? *

Excellent Very Good Good Satisfactory Poor

Whilst waiting for your return transport journey, were you offered a hot or cold drink? *

Yes No

Is there anybody from the HATS Transport Team you believe deserves special recognition? (optional)

Do you have any comments or suggestions? (optional)

Patient Name (optional)

Which hospital/care facility did you visit? *

Would you like someone to contact you about your views in this survey? *

Yes No