This document appears to be a patient experience survey for a day surgery unit at Hairmyres Hospital NHS Lanarkshire. It contains questions about the patient's experience related to factors like whether staff took their needs and preferences into account, how well informed they felt about their treatment options, whether they felt involved in decisions about their care, and whether they were treated with respect and dignity. The survey also asks about cleanliness, communication with staff, and likelihood of recommending the service to others. It thanks the patient for their feedback and explains it will help identify areas for improvement.

1. Patient Experience Survey
Day Surgery Unit
Hairmyres Hospital
NHS Lanarkshire

2. Initials
Gender
Day
Month
Year

3. Speciality
Surgeon
Anaesthetist

4. Thank you for your feedback. It helps us evaluate the
services we provide. It allows us to identify areas
where we are can improve. We will not ask you for
any personal information. Any feedback you provide
will be confidential and will not affect your current or
future treatment.

5. What matters to you?What matters to you?
Staff took into account all things that mattered
to me.
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

6. Who matters to you?Who matters to you?
Staff took into account all the people that mattered to me and
how much I wanted them to be involved in my care and
treatment
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

7. InformationInformation
I understood my treatment options and had all information I
needed to make decisions about my care
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

8. Personalised contactPersonalised contact
I have been able to speak with the staff that I wanted to, when
I wanted to
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

9. Nothing about me without meNothing about me without me
I have been involved in discussions about my care and
treatment as much as I wanted to
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

10. Respect and DignityRespect and Dignity
I was treated with respect and dignity
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

11. Family and FriendsFamily and Friends
I would recommend this service to my family and friends
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

12. Overall ServiceOverall Service
In general the overall service today was good
Choose one option
Excellent
Better than expected
As expected
Poor
Very poor

13. EscalationEscalation
I was made aware of who to contact if I was not satisfied with
any aspect of the service
Choose one option
Yes
No
Not sure

14. CleanilinessCleaniliness
Cleanliness in the hospital is,
Choose one option
Excellent
Better than expected
As expected
Poor
Very poor

15. Listening - NursesListening - Nurses
The nursing staff listened to my needs
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

16. Listening - DoctorsListening - Doctors
The doctors listened to my needs
Choose one option
Yes, all the time
Yes, most of the time
Sometimes
No, not really
Never

17. Phone NumberPhone Number
Optional

18. EthnicityEthnicity
Choose one option
Other

19. DisabilityDisability
Choose one option
Yes
No
I prefer not to answer

20. Free comments boxFree comments box

21. Thank YouThank You
Day Surgery Staff,
Hairmyres Hospital
And
Dr Yathish Rangappa
Consultant, Anaesthesia
End