Friends and Family Test

 
As this survey is anonymous, we cannot respond directly to you about any comments you make. If you would like us to respond to you about a specific experience of our service, please contact our Patient Relations Department:

Email: yas.patientservices@nhs.net
Telephone: 0345 122 0535

Address:
Patient Relations Department
Yorkshire Ambulance Service NHS Trust
Springhill 2
Brindley Way
Wakefield 41 Business Park
Wakefield
West Yorkshire
WF2 0XQ


Please remember not to write a name or address anywhere on this survey. This is so that your opinions remain confidential and anonymous.

1. What area of Yorkshire do you live in?

We serve patients across the whole of Yorkshire. Telling us part of your postcode helps us to find out how we are doing in your area of Yorkshire but still ensures your feedback is anonymous.

Please do not tell us the last two digits of your postcode:

 

2. How likely are you to recommend our service to friends and family if they needed similar care or treatment? *

 

3. Can you tell us why you gave that response? (please type your response in the box below)

 

4. We are especially keen to receive feedback about our Urgent Care Practitioners, if the person who delivered your care was an Urgent Care Practitioner, there will be a white sticker on your leaflet. Is there a white sticker at the bottom corner of the Friends and Family form? *

 

 

 
The following questions are to collect information about our patients. This information can help us plan to meet the needs of the community, to ensure that everyone has equal access to the health care we provide, and that we deliver our service to the same high standard for all our patients.

5. What is your sex?

 

6. What age are you?

 

7. What is your ethnic group?

 

8. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? (include any issues/problems related to old age)