Torbay Community Equipment Service Survey

Your organisation
1. To enable us to review and continually improve our community equipment service, we need your help to shape our service for the future.
  
  We would be grateful of you could spare a few moments of your time to complete our survey.
  
  Your feedback is important to us and will help us to ensure we can provide an efficient and effective service supporting you to stay active, comfortable, safe and independent in your home and in the community.
  
  The survey will take approximately 3-4 minutes to complete. Please complete before midnight on Sunday 14 February 2021.
  
  Thank you for your time.
Question 1
1. If you needed to use a piece of equipment to help you around the home, would you be willing to collect it?
  
  Yes
  
  No
2. Where would you be willing to collect the equipment from? Please tick all that apply.
  
  A central location within Torbay
  
  A location associated with or close to a healthcare facility
Question 2
1. Once you have finished using the piece of equipment, would you be willing to return it?
  
  Yes
  
  No
2. Where would you be willing to return the equipment to? Please tick all that apply.
  
  A central location within Torbay
  
  A location associated with or close to a healthcare facility
  
  The same place I collected it from
Question 3
1. If you could collect and return the piece of equipment at a facility within Torbay, what time would you be able to do this? Please tick all that apply.
  
  Monday to Friday between 9 am and 5 pm
  
  Monday to Friday before 9am
  
  Monday to Friday after 5 pm
  
  Saturday between 9 am and 5 pm
  
  Sunday between 9 am and 5 pm
Question 4
1. Would you like the option to book your own delivery/collection time slots?
  
  Yes
  
  No
2. How would you prefer to book your delivery/collection times slots? Please tick all that apply.
  
  Using a website to view all the options and then choosing a convenient time slot
  
  Phoning the equipment company after your clinician has told you that you need something
  
  A representative from the equipment company phones you
  
  Receiving a text message with options on it which you would respond to with your preference
Question 5
1. Would you prefer to have your equipment delivered/collected, if this option were available?
  
  Yes
  
  No
2. What times would you like to have the equipment delivered? Please tick all that apply.
  
  Monday to Friday between 9am and 5pm
  
  Monday to Friday before 9am
  
  Monday to Friday after 5pm
  
  Saturday between 9am and 5pm
  
  Sunday between 9am and 5pm
3. Would you be happy with a morning or afternoon slot or would you prefer a more precise time?
  
  Anytime in the morning or afternoon
  
  2-hour slots either in the morning or afternoon
  
  4-hour slots either in the morning or afternoon