PPM Feedback Unattended

Positive Pain Management Programme feedback questionnaire (unable to attend regularly)

We have contacted you as our records show that you were due to attend our “Positive Pain Management” group sessions, but were unable to (or chose not to) complete the course. We would be really grateful if you could take a few minutes to complete this brief questionnaire, as we are keen to find out why people decide not to attend. This will help us to improve our service to you and to other patients.

Positive Pain Management Programme feedback questionnaire (unable to attend regularly)

Q1. Did you know that you were due to attend the Positive Pain Management course?

Yes No

Q2. Who suggested that you attend the Positive Pain Management Course

GP Practice Nurse Physiotherapist Wellbeing Service Pain Clinic Other Clinician It was your own idea Not sure

Q3. Where was the Positive Pain Management course that you attended?

Lowestoft (Riverside Centre) Great Yarmouth (Northgate Hospital) Not sure

Q4. Did you attend any of the sessions at all?

Yes No

If you did not attend any sessions at all, please explain why this was:

If you attended at least one session, what made you decide not to attend again?

Q5. What changes could we make so that it is more likely that you would attend a course on pain management in the future?

Q6. Please feel free to use the space below to add any comments or suggestions about the Positive Pain Management course.

Finally, as a part of this project, we would like to speak with and listen to the views of some patients. This could be done in a small group, or individually either face to face or over the phone; you can let us know which you would prefer. This is entirely voluntary and we will not be able to speak with everyone. If you would be happy for us to contact you about this, please add your details below.

Name

Date Of Birth

Address

Contact number (if you are happy for us to call you):

Email address (if you are happy for us to email you):

Please indicate below how you would most like to speak with us

I would be happy to be invited a small group to discuss my experiences of the course I would be happy to discuss my experiences of the course face to face with one of the Team I would be happy to discuss my experiences of the course on the phone with one of the Team