Somerset Health Visiting Service Family Feedback

3. What session, visit or other encounter with a member(s) of the Health Visiting Team are you giving feedback on this time?

(Required) Home Visit Clinic Group Session Telephone Contact Other Not Sure

Please explain briefly, if known, the purpose of the session/visit/encounter/other, e.g. New Birth Visit; Developmental Review, etc.

5. Where was this?

(Required) At home Over telephone Other place - please see below

Other Place - Name

Please explain any issues - positive or negative - you had with the Other Place

6. Was your session an appointment booked in advance or just turn up?

(Required) Pre-booked appointment I just turned up The Health Visitor just turned up

7. If the appointment was booked in advance, how did you book it?

(Required) Online 'Choose & Book' Telephone Text Message Email In person Other Not Applicable

Please give any comments you may have about your experience with the appointment making process

8. Was your experience with a particular member(s) of the Health Visiting Team?

(Required) Yes - please see below No

If 'Yes', please give the name or names

9. What was your experience of the Health Visiting Service on this occasion?

(Required) Positive Negative Neither

Please share any comments you have about your experience - what made it a positive or negative experience on this occasion? What have we done well, or where might we do better?

10. Was your 'My Personal Child Health Record' (Red Book) discussed, looked at or written in during the session? Check all that apply

(Required) Discussed Looked at Written in by me Written in by the Health Visitor No I don't remember

11. Do you feel that you have all the information you need from the Health Visiting Team at this time, e.g. how my child is developing; what support groups are available to me locally; when my child's next scheduled appointment is, etc.?

(Required) Yes Not sure No [Duty Care Line: 0300 3230116 - OPTION 3 / Chat Health Support Line: 07480 635514]

12. Final question... Have you at any time received breastfeeding support from a member of the Health Visiting Team?

(Required) Yes No Don't remember

If 'Yes' please explain when and where this was, and how useful you found it

13. If you would like to take part in our ongoing Health Visiting Service development review activities, please leave your contact details below - name and a contact telephone number or email address - and a member of the Health Visiting Team will be in touch shortly. For any other issues or questions relating to your feedback, please call the Duty Care Line, 0300 3230116 - OPTION 3 - or use the Chat Health Support Line, 07480 635514

Contact Details

Health Visiting Service Family Feedback Form