Eye (ophthalmology) surgery proposals: Feedback survey

1. In what capacity are you responding to this survey? (You might fall into more than one category, but please tell us the main category that applies to you.)

Current or former patient / service user Family member or friend of a patient / service user Carer of a patient / service user Member of the public Voluntary organisation / charity Staff who provide ophthalmology services Health or care professional / member of NHS staff Trade union or professional body Other public body / stakeholder / political representative Prefer not to say

2. If you are responding as a representative of an organisation, please tell us the organisation’s name.

There is a limit of 100 characters

3. Please tell us which borough you live in or where the organisation you are completing the survey on behalf of is located.

Barnet Camden Enfield Haringey Islington Elsewhere Prefer not to say

4. Please tell us which hospital you would be likely to choose for eye surgery. Choose one answer.

Chase Farm Hospital Edgware Community Hospital North Middlesex University Hospital Moorfields Eye Hospital (City Road site) Moorfields Eye Hospital (St Ann’s site) Moorfields Eye Hospital (Potters Bar Community Hospital) Royal Free Hospital Whittington Hospital Other Prefer not to say Non Applicable

Please tell us why you have chosen this hospital.

There is a limit of 1000 characters

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Introduction