3 FFT Maternity April 2020 Web Form  
 
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If you wish to feedback about more than one part of the service, please complete a seperate card/response on the web page.
Equality Monitoring
Tell us what you think about the quality of your care!
Alternatively you can complete an online form at https://www.cht.nhs.uk/patients-visitors/family-and-friends-test
V1-2020
Date of feedback:
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What went well with your care and treatment?
What could we do better?
If yes, please state:
Area:
If you DO NOT wish your anonymous comments
to be used in our promotional material, please
tick here:
Do you have a disability?
Yes
Prefer not to say
No
Overall, how was your experience of our service?
Don't
know
Poor
Neither Good
nor Poor
Very
Poor
Very
Good
Good
What is your sexual orientation?
Heterosexual
Bisexual
Gay-Lesbian
Prefer not to say
What is your age?
25-34
45-54
35-44
16-24
Prefer not to say
Under 16
Thinking about our Maternity service...
(please select which service your feedback relates to)
Antenatal
Postnatal Ward
Labour & Birth
Postnatal Community
What is your ethnic group?
Other
Asian
Black
White
Mixed
Prefer not to say
I am answering this as a...
Relative/Carer/Advocate
(please answer the questions below
about the patient)
Patient
Antenatal - AN Clinic - CRH
Antenatal - AN Clinic - HRI
Antenatal - Calder - Calderdale
Antenatal - Florence - Huddersfield
Antenatal - HBC - Huddersfield Birth Centre
Antenatal - Huddersfield Central
Antenatal - Huddersfield Colne Valley
Antenatal - Huddersfield South
Antenatal - Maternity Assessment Centre (MAC) - CRH
Antenatal - Ribble - Calderdale
Antenatal - Rosa - Calderdale
Antenatal - Swale - Calderdale
Antenatal - Wharfe - Calderdale
Labour and Birth - CBC - Calderdale Birth Centre
Labour and Birth - HBC - Huddersfield Birth Centre
Labour and Birth - Home Birth
Labour and Birth - LDRP - Calderdale Labour Ward
Labour and Birth - Other
Postnatal Community - Calder - Calderdale
Postnatal Community - Florence - Huddersfield
Postnatal Community - HBC - Huddersfield Birth Centre
Postnatal Community - Huddersfield Central
Postnatal Community - Huddersfield Colne Valley
Postnatal Community - Huddersfield South
Postnatal Community - Ribble - Calderdale
Postnatal Community - Rosa - Calderdale
Postnatal Community - Swale - Calderdale
Postnatal Community - Wharfe - Calderdale
Postnatal Ward Post Birth - Calderdale Birth Centre - CBC
Postnatal Ward Post Birth - Calderdale Labour Ward
Postnatal Ward Post Birth - HBC - Huddersfield Birth Centre
Postnatal Ward Post Birth - Postnatal Ward - 4A CRH
Postnatal Ward Post Birth - Postnatal Ward - 4D CRH
 
 
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