Patient video feedback form

The Northern Radiotherapy Network has commissioned a range of patient information videos to aid patients in making informed decisions around their cancer care, and increase awareness and understanding of radiotherapy.

We are continually looking to improve our services, and therefore we would be very grateful for your input and feedback on the patient information videos.

The survey is voluntary and anonymous and will not affect your care in any way.

After watching the radiotherapy patient information video, please choose an option to show how strongly you agree or disagree with the following statements;

The information about getting to the hospital was very useful.

I would be confident to find my way to the radiotherapy department.

I would know what to expect when I come for my pre-treatment appointment.

I understand why permanent marks are needed for radiotherapy treatment.

I know who to contact if I need more information about my radiotherapy treatment.

After watching the radiotherapy patient information video, please rate the following statements, on a scale of 1-5 (with 1 being the lowest and 5 being the highest).

How prepared would you feel about coming for radiotherapy treatment?

How reassured would you feel about having radiotherapy at one of our centres?