survey questions for healthcare workers

printable page

Name: *

Address from which you work: *

Postcode: *

Employer: *

Geographical area you cover: *

Number of patients/clients you cover: *

Service you provide: *

Telephone number:

Email address:

Meals on wheels referrals or assessment

Please briefly describe your role and the basis upon which the referral or
assessment is made: *

Meals on wheels service

Are you satisfied that the service reaches all those in need of it?: *

yes

If your answer is "no", please identify where and how the gaps arise.

Where and how the gaps arise in the service:

Can you comment on the quality of the meals?:

How would you assess the affordability of the meals?: *

unaffordable for service users

value for money

inexpensive

about right

Do you feel the service is adequate?: *

yes

How do you think the service might be improved?:

Can you identify any ways in which the service might be expanded or linked in with other services?:

Could the service be expanded to achieve wider objectives, such as preventative work or social benefits, including services to different client groups? If so, please suggest how this might be done.:

What are the strengths and what are the weaknesses in the way the service is currently run?:

How do you think management might be improved?:

Would you be able and willing to attend a meeting to discuss these issues?: *

yes

If there are any constraints to your attendance at such a meeting, such as
venue and time, please say.:

If there are any specific issues you would like to raise or discuss, please feel free to email Rosemary Foggitt or Catriona Graham.

Rebuilding Society Network

survey questions for healthcare workers