Surgical Virtual Ward questionnaire

Process: How satisfied were you with the process of going onto the Virtual Ward? For example, was the equipment you needed to use explained, did you know what would happen when you got home, was the concept of a Virtual Ward explained?

Very satisfied
satisfied
unsatisfied

Is there any feedback you would like to add about the process and your response?

Which surgical virtual ward specialty were you on?

Care and Treatment: How satisfied were you with the care and treatment you received whilst on the Virtual Ward as a patient?

Very satisfied
satisfied
unsatisfied

Is there any feedback you would like to add about your care and treatment?

Did you feel safe whilst on the Virtual Ward? For example, did you know who and how to contact somebody if you had any questions or if you felt unwell?

Yes
No
Not sure

Would you like to add any feedback about your safety?

Was the response from a clinician swift and effective?

Yes
No
Not applicable

Would you like to add any feedback about your clinician's response?

Use of Technology: How satisfied were you on how to use the equipment and submit your results?

Very satisfied
satisfied
unsatisfied

Would you like to add any feedback about the technology?

Discharge from the Virtual Ward: How satisfied were you with the discharge process? For example, do you feel you were given enough information about why you were being discharged, was the next steps clear for you i.e. outpatient follow-up or investigation

Very satisfied
satisfied
unsatisfied

Is there any feedback you would like to add about your discharge?

Equality Information: Gender

Male
Female
Non Binary
Prefer not to say

Equality Information: Age

Equality information: Ethnicity

*

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Surgical Virtual Ward questionnaire