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We would like to invite you to share your experience of the NHS Dedicated Service (DS) with us. All of your feedback will help us to shape the future of the service and we appreciate your time in completing this questionnaire.

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* How satisfied are you with the support you receive from your NHS DS worker (including Emotional Wellbeing support and health navigation)? (Please tick)

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* Could you tell us more about this?

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* Do you feel that your NHS DS worker has involved you in the decisions about your care? (Please tick)

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* Could you tell us more about this?

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* How satisfied are you with the NHS Dedicated Service offer (including Respiratory, Paediatrics, Enhanced Health Checks, Extended GP appointments)? (Please tick)

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* Could you tell us more about this?

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* In relation to the above question, has the support you received met your needs? (Please tick)

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* Could you tell us more about this?

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* Have you been treated with dignity and respect? (Please tick)

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* Could you tell us more about this?

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* Any other comments/suggestions for the NHS DS service?

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* About you (Optional)

Your data will be treated in accordance with the Data Protection Act 1998 and will not be shared with any third parties. If you would prefer not to be contacted your anonymous feedback is still extremely valuable to us.

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* Thank you for taking time to complete this feedback form.

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