Welcome to UHB

Your views play a major role in ensuring the South Birmingham Breast Screening Service provides high quality care to our patients.

By completing the breast screening survey you will be helping us to develop and improve the services we provide to you.

We would like your views, experiences and opinions of the breast screening services we provide by completing the anonymous survey.

Screening date

Screening location

Birmingham Women's Hospital
Longbridge Health and Community Centre
Selly Oak Health Centre (Katie Road)

Please select your age group

Was this your first screening?

Yes
No

Were you screened in a mobile van or in hospital?

Mobile
Hospital

Were you happy with the location of your screening appointment?

Very happy
Fairly happy
Not happy

If you were not happy with the screening location, please explain why

What did you think of your screening invitation letter? (tick all that apply)

Clear to read
Confusing
Frightening
Too impersonal
Well explained
Didn't read it
Other

If you selected "Other" to the previous question, please explain what you thought of the invitation letter

Did the “Helping You Decide” leaflet fully explain the breast screening process?

Yes
Somewhat
No

Did you need to change the screening appointment you were sent?

Yes
No

If you changed your appointment, how did you do this?

Telephone
Email
Website
Other

If you selected "Other" to the previous question, please explain how you changed your appointment

If you changed your appointment, how did you find this process?

Very easy
Fairly easy
Not easy
Not applicable

If you did not find it easy to change your appointment, please explain why

What were your first impressions of the screening unit? (tick all that apply)

If you selected "Other" to the previous question, please explain your first impressions of the unit

Did the person taking your X-ray give an explanation of the procedure before it took place?

Yes
No

How would you describe the X-ray? (tick all that apply)

Completely painless
Slightly uncomfortable
Uncomfortable
Painful

Were you told how you would get your results?

Yes
No
Not sure

Were you told how long you would have to wait for the results?

Yes
No
Not sure

How were the staff during your visit?

If you selected "Other" to the previous question, please explain how the staff were

How long after your appointment time did you have to wait for your X-ray?

Seen before appointment time
Seen on time
Less than 10 minutes
10 – 20 minutes
21 – 30 minutes
More than 30 minutes

If you waited more than 30 minutes, please state how long you had to wait

If you waited more than 30 minutes, were you given a reason?

Yes
No
Not applicable

If you were given a reason for the 30 minute delay, please state this

What prompted you to attend your breast screening appointment? (tick all that apply)

If you selected "Other" to the previous question, please explain what prompted you to attend

Where do you get information relating to your health issues from? (tick all that apply)

Magazines
Leaflets
Internet
Family doctor
GP posters
Other

If you selected "Other" to the previous question, please explain where you get information relating to your health issues

If you are in the screening age range you will be invited to attend breast screening again in three years. How likely are you to attend?

If you selected "Not likely" or "Not sure" to attending screening again, please explain why

If you will no longer be in the screening age range in three years you can self-refer for breast screening. How likely are you to self-refer?

If you selected "Not likely" or "Not sure" to self-referring, please explain why

Would you encourage a friend, colleague or relative to attend breast screening?

Yes
No

If you selected "No" to encouraging people to attend, please explain why

During your last GP appointment, did your doctor or nurse mention breast screening or breast awareness to you?

Yes
No
Can't remember

What was the best thing about your screening visit? (tick all that apply)

Being seen on time
Efficient/organised service
Staff
Location
No best thing
Peace of mind
Quick and easy process
Other

If you selected "Other" to the previous question, please explain the best thing about your screening visit

What was the worst thing about your screening visit? (tick all that apply)

Apprehension
X-ray discomfort
Feeling embarrassed
Location
No worst thing
Parking
Waiting for results
Other

If you selected "Other" to the previous question, please explain the worst thing about your screening visit

When would you prefer to attend breast screening? (tick all that apply)

Monday – Friday before 09:00
Monday – Friday between 09:00 – 17:00
Monday – Friday between 17:00 – 20:00
Saturday between 09:00 – 13:00
Saturday between 13:00 – 17:00
Other

If you selected "Other" to the previous question, please state your preferred day and time

Do you have any suggestions on how to improve the breast screening service?