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Rate each question either Yes or No, or fill in the text box with your answer.

Question one: Do you feel you were well enough prepared for discharge from your unit?

No Yes

Question two: If not, how could this improve?

Question three: Were you given enough information regarding on-going care at home including the need for immunisations, milestones and appointments?

No Yes
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Question four: What could be improved?

Question five: Can you tell us about one area of good practice on the unit?

Question six: Was there an area of care where you feel improvements could be made?

Question seven: If you needed the services of the same unit in the future would you be happy to be cared for there again?

No Yes