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  1. Surveys
  2. 2009
  3. June
  4. I
  5. Injections
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Please start with the questionnaire now by clicking on the Continue button below.
 
 
Please supply your Forename & Surname
   
 
 
 
Before the injection how would you rate the level of your pain, discomfort and disabilty?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
 
 
How would you rate the overall day case experience?
 
Poor
 
Acceptable
 
Good
 
Excellent
 
 
 
If No, what could be improved?
   
 
 
 
For the first 12hrs after the injection did you feel?


 
Worse
 
No difference
 
Better
 
 
 
If you felt better by how much?


 
<25%
 
50%
 
75%
 
>75%
 
 
 
How do you feel NOW after the injection?


 
Worse
 
No difference
 
Better
 
 
 
If you felt better by how much?


 
<25%
 
50%
 
75%
 
>75%
 
 
 
Did you have any unexpected effects from the procedure? If yes what?
   
 
Thank you for completing the survey Please contact [email protected] if you have any questions regarding this survey.
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