Spread a Smile Feedback Questionnaire 2024

Thank you so much for completing this questionnaire. We really appreciate you taking the time to do so. Please note that this is an anonymous survey and your answers will be used to help us improve our work and ensure that we are always providing the best possible services.

1. What is your home county? *


Please Select	Please Select

If selected other please state which county

2. What is your ethnicity? *

	Please Select
Ethnicity	Ethnicity Please Select

3. How old is your child? *

	Please select
Age	Age Please select

4. What is your child's condition? (Optional)

5. At which hospital does your child receive treatment? *

	.
Please Select	Please Select .

If you select other, please state which hospital

6. If your child receives treatment at any additional hospitals, please list below:

7. Please select all of the Spread a Smile services that you or your child/young person has received or taken part in.
(Tick all that apply) *

8. Please tell us how Spread a Smile services have made a difference to your child/young person.
*

9. If relevant, please tell us how Spread a Smile services have made a difference to any siblings.

10. Do you feel that a visit from Spread a Smile entertainers (either virtual or in-person) may help to: *

	Yes	No	Not Sure
Provide a distraction from treatments and/or procedures	Provide a distraction from treatments and/or procedures Yes	Provide a distraction from treatments and/or procedures No	Provide a distraction from treatments and/or procedures Not Sure
Make procedures less distressing and/or easier to manage	Make procedures less distressing and/or easier to manage Yes	Make procedures less distressing and/or easier to manage No	Make procedures less distressing and/or easier to manage Not Sure
Reduce pain	Reduce pain Yes	Reduce pain No	Reduce pain Not Sure
Reduce anxiety	Reduce anxiety Yes	Reduce anxiety No	Reduce anxiety Not Sure

11. If applicable, please provide specific examples of how Spread a Smile entertainer visits have helped your child to better manage procedures, treatments, hospital admissions and/or appointments.

12. Do you feel that visits from Spread a Smile entertainers (either virtual or in-person) can improve the mood of your child? *

Yes
No
Not Sure

13. If yes, how long does the positive change in their mood last for?

14. Do you feel that visits from Spread a Smile entertainers (either virtual or in-person) can: *

	Yes	No	Not Sure
Make the hospital environment seem less scary for your child	Make the hospital environment seem less scary for your child Yes	Make the hospital environment seem less scary for your child No	Make the hospital environment seem less scary for your child Not Sure
Improve the overall hospital experience for your child	Improve the overall hospital experience for your child Yes	Improve the overall hospital experience for your child No	Improve the overall hospital experience for your child Not Sure
Help your child to socialise and interact with others	Help your child to socialise and interact with others Yes	Help your child to socialise and interact with others No	Help your child to socialise and interact with others Not Sure
Have a positive impact on your child's mental health and emotional well-being	Have a positive impact on your child's mental health and emotional well-being Yes	Have a positive impact on your child's mental health and emotional well-being No	Have a positive impact on your child's mental health and emotional well-being Not Sure

15. How could we improve Spread a Smile entertainer visits? (either virtual or in-person) *

16. Please rate the following aspects of your interaction with Spread a Smile using the boxes below *

	Outstanding	Very Good	Good	Average	Poor	Very Poor
Caring and respectful nature of team	Caring and respectful nature of team Outstanding	Caring and respectful nature of team Very Good	Caring and respectful nature of team Good	Caring and respectful nature of team Average	Caring and respectful nature of team Poor	Caring and respectful nature of team Very Poor
Communication with team	Communication with team Outstanding	Communication with team Very Good	Communication with team Good	Communication with team Average	Communication with team Poor	Communication with team Very Poor
Feeling listened to by team	Feeling listened to by team Outstanding	Feeling listened to by team Very Good	Feeling listened to by team Good	Feeling listened to by team Average	Feeling listened to by team Poor	Feeling listened to by team Very Poor
Quality of Spread a Smile entertainment	Quality of Spread a Smile entertainment Outstanding	Quality of Spread a Smile entertainment Very Good	Quality of Spread a Smile entertainment Good	Quality of Spread a Smile entertainment Average	Quality of Spread a Smile entertainment Poor	Quality of Spread a Smile entertainment Very Poor
Ability to adapt entertainment to my child's age and/or abilities	Ability to adapt entertainment to my child's age and/or abilities Outstanding	Ability to adapt entertainment to my child's age and/or abilities Very Good	Ability to adapt entertainment to my child's age and/or abilities Good	Ability to adapt entertainment to my child's age and/or abilities Average	Ability to adapt entertainment to my child's age and/or abilities Poor	Ability to adapt entertainment to my child's age and/or abilities Very Poor
Being sensitive to how my child is feeling	Being sensitive to how my child is feeling Outstanding	Being sensitive to how my child is feeling Very Good	Being sensitive to how my child is feeling Good	Being sensitive to how my child is feeling Average	Being sensitive to how my child is feeling Poor	Being sensitive to how my child is feeling Very Poor
Ability to understand the individual needs of my child	Ability to understand the individual needs of my child Outstanding	Ability to understand the individual needs of my child Very Good	Ability to understand the individual needs of my child Good	Ability to understand the individual needs of my child Average	Ability to understand the individual needs of my child Poor	Ability to understand the individual needs of my child Very Poor
Safeguarding during visits (in-person or virtual)	Safeguarding during visits (in-person or virtual) Outstanding	Safeguarding during visits (in-person or virtual) Very Good	Safeguarding during visits (in-person or virtual) Good	Safeguarding during visits (in-person or virtual) Average	Safeguarding during visits (in-person or virtual) Poor	Safeguarding during visits (in-person or virtual) Very Poor
Overall experience of Spread a Smile	Overall experience of Spread a Smile Outstanding	Overall experience of Spread a Smile Very Good	Overall experience of Spread a Smile Good	Overall experience of Spread a Smile Average	Overall experience of Spread a Smile Poor	Overall experience of Spread a Smile Very Poor