We would like to hear your views about the way the student nurse has supported your care. Your feedback will not change the way you are cared for and will help the student nurse’s learning.
Tick if you are:
How happy were you with the way the student nurse…
😀 Very happy
🙂 Happy
😕 I’m not sure
🙁 Unhappy
😢 Very unhappy
…cared for you?
…listened to you?
…understood the way you felt?
…talked to you?
…showed you respect?
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What did the student nurse do well?
The student nurse did very good job, and was very gentle while carrying out the treatment.
What could the student nurse have done differently?
Nothing
This form has been co-produced by Pan London Service Users across four fields of practice, 2013.
If the person providing the feedback would prefer to do so on a paper form then you can download and print the pdf using the link below.