1. When a referral is sent by you to our services, how would you rate the response?

2. Is there anything else that we could do in your view to improve the referral process?

3. How would you rate the cost of the placement for your patient(s)?

4. Would you like further information on the bed rate for your patient? If so, please detail below.

5. How would you rate the Care Programme Approach process?

6. Do you feel you are allocated enough time to read the reports prior to a CPA meeting?

7. Do you feel that there has been an improvement made to the quality and frequency of the liaison reports that you receive?

8. How effective do you feel our communication is in terms of aftercare and discharge planning for the placement of patients?

9. Do you have any recommendations to make in respect of the service offered?

10. Do you feel the patient’s needs are being appropriately met?

11. Would you recommend Alpha Hospitals to a colleague? (please comment below)

12. What is most important to you in a service e.g. price, quality, reputation etc?

13. By what method of communication would you prefer to receive information?

14. Are there any specific points that you would like to raise about the service currently provided by Alpha Hospitals?

15. Do you have any areas of unmet need?