Leave Feedback Take A Survey Main site

Shared Decision Making Survey

Please use the box below to tell us which health condition the consultation was about:

(Example "Arthritis")

Please use the box below to tell us about the decision that was made:

(Example "The consultant and I decided that I would start daily exercises alongside medication to help my condition")

Below, there are nine statements related to the decision-making in your consultation. For each statement, please tell us how much you agree or disagree by ticking one of the boxes for each statement.

About you

First name *

Last name *

Leave feedback anonymously?

Email address

Telephone number

I accept the terms and conditions