Outlook Psychology Team Feedback Questionnaire 2021

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We would like to ask what you thought of your session(s) with the psychology team and the service more generally. Your thoughts and opinions are really important to us and we would appreciate your honest feedback so that we can evaluate the service we provide.

This form will take around 5 minutes to complete and all answers will be anonymous.

Today's Date *

YYYY

1. What was the method of contact with your psychologist? *

1.1 If you were to repeat this experience, would you be happy to use this format again? *

Yes

1.2 Were there any advantages or disadvantages for you?

(For these next questions please rate how satisfied you feel from 1 - 5 in relation to the statements below )

1.3 How satisfied were you with this method of contact with your psychologist? *

Not at all satisfied

Very satisfied

1.4 If you were offered a video-consultation, but chose to opt out of video-consultation, please select all that apply

N/A

Concern my specific needs would be difficult to assess without being face to face

Concern that remote appointments would impact on the relationship with the psychologist

Unfamiliarity with technology/technical knowledge

No/poor internet connection

Privacy concerns (i.e., finding a private space to complete consultation)

Self-consciousness/appearance concerns

Lack of appropriate technology for video consultation (e.g., access to i-pad, smartphone, laptop/computer with a camera)

1.5 (For those who had video or telephone sessions only) Ease of use

Please leave this blank if it is N/A

Not at all satisfied

Very satisfied

Clear selection

2. Overall, how satisfied were you with the organisation around your sessions with us including timing of appointment, letters and leaflets? *

Not at all satisfied

Very satisfied

2.1 What could have improved your experience?

(This field is optional)

(For these next questions please rate your level of agreement from 1 - 5)

3. Since completing these sessions I have a better understanding of my difficulties *

Strongly disagree

Strongly agree

4. During the sessions I felt able to talk about the things that were important to me *

Strongly disagree

Strongly agree

5. These sessions have equipped me with the necessary skills/tools to manage my current needs *

Strongly disagree

Strongly agree

6. What did you find most helpful about the sessions?

(Optional)

7. What did you find least helpful about the sessions?

(Optional)

8. Do you have any additional comments or suggestions about the service you have received?

(Optional)

9. If a friend or family member was in need of similar help would you recommend psychology sessions to him or her? *

Yes

Optional question: As a service we would like to be able to pass on a brief and anonymous message from you as a previous client to future clients. Below is space to share some of your reflections from your sessions if you would like to. A brief sentence would be plenty:

(Optional)

If you would like to be contacted specifically regarding your experience of our service, or to discuss your feedback please contact us via email: PsychologyOutlookAppearanceTeam@nbt.nhs.uk

(The fields below optional and NOT required)

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