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Future of West Edinburgh
Children’s Occupational Therapy Service
Page 1 of 3
Closes
30 Sep 2028
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Page 1
1. Please enter your child's date of birth.
Child's DOB
Day (dd)
-
Month (mm)
-
Year (yyyy)
2. How easy was it to access the service? (On a scale of 1-10, with 10 being extremely easy)
Ease of access
-- Please Select --
1 - extremely hard
2
3
4
5
6
7
8
9
10 - extremely easy
Any comments:
3. Did your OT do the following?
Yes
No
Explain their role
Yes
No
Seek your permission to share information/make referrals to other services if relevant
Yes
No
Agree an OT Action Plan with you
Yes
No
Keep you up to date on progress of the action plan
Yes
No
Any comments:
4. During discussions, did you feel that the OT...
Yes
No
Listened to you and your child's views (if appropriate)?
Yes
No
Treated you/your child with respect?
Yes
No
Let you/your child have your say?
Yes
No
Understood what you/your child wanted to achieve?
Yes
No
Spent enough time with you/your child?
Yes
No
Any comments:
5. Did you know how to contact...
Yes
No
Don't know
Your OT?
Yes
No
Don't know
Social Care Direct to make a new referral if needed?
Yes
No
Don't know
Someone if you were unhappy about the OT service or wanted to make some suggestions
Yes
No
Don't know
6. What can we do to improve the OT service?
Any comments:
7. How did we do?
Overall rating
-- Please Select --
6 = Excellent
5 = Very good
4 = Good
3 = Adequate
2 = Weak
1 = Unsatisfactory
8. Any other comments that you would like to share about your Occupational Therapist or the service as a whole?
Any comments:
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