Allergy Patient Experience Questionnaire

This field is for validation purposes and should be left unchanged.

This questionnaire has been developed to help us improve our care. We would like to hear about your experiences of attending our allergy clinic. The information you provide is confidential and it will be used to help us make our service better for you.

If the patient is under 12 years of age this questionnaire should be completed by the parent or guardian.

The survey should take no longer than 5-10 minutes to complete. Thank you for your time.

Were you happy with how quickly you were seen today?
How long from your appointment time were you seen?
Did you have enough time to discuss your questions and concerns about your child’s allergy with the ALLERGY DOCTOR?
Did you have enough time to discuss your questions and concerns about your child’s allergy with the ALLERGY NURSE?
Did you have enough time to discuss your questions and concerns about your child’s allergy with the DIETICIAN?
Were you able to understand all of the written information provided to you?
Were you offered dietary advice that was appropriate for your family?
Were you offered the opportunity for an interpreter to be present?
Would you have liked to have the opportunity for an interpreter to be present?
Would you/your child or family benefit from being seen MORE frequently by a member of the allergy team?
Would you/your child benefit from being seen LESS frequently by a member of the allergy team?
Would you/your child benefit from having greater access to the allergy team by email?
Would you/your child benefit from having greater access to the allergy team by phone?
Would you/your child benefit from having greater access to the allergy team by text message?
Would you/your child benefit from having better access to support for allergies at your GP practice?
Did our facilities meet your needs today?
Overall do you feel you were treated with dignity and respect while you were in our clinic today?
Please tell us who has completed this questionnaire by selecting the most appropriate answer

Would you recommend our service to a friend or family member with a child who has an allergy?
Thank you for taking time to complete this questionnaire. Your views and experiences are very important to us. We would like to thank Sheffield Children’s Hospital Allergy team for developing this survey.
Sandwell and West Birmingham NHS Trust
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