Spread a Smile Feedback Questionnaire

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. How old is your child? *


Please select	Please select

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

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

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Please Select	Please Select .

If you select other, please state which hospital

4. If your child receives treatment at any other hospitals, please list below:

5. What is your home county? *


Please Select	Please Select

If selected other please state which county

6. How long has your child been receiving hospital treatment? *

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

In-person entertainer visits in hospital
Virtual entertainer visits in hospital or at home
Watched videos on Smile TV
Attended an in-person family event
Joined a virtual event (eg. Santa's grotto, activities during school holidays)
Had a virtual birthday party
Received a treat we delivered to hospital
Other (please specify):

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

	Outstanding	Very Good	Good	Poor	Very Poor	Not Applicable
Caring and respectful nature of Spread a Smile team	Caring and respectful nature of Spread a Smile team Outstanding	Caring and respectful nature of Spread a Smile team Very Good	Caring and respectful nature of Spread a Smile team Good	Caring and respectful nature of Spread a Smile team Poor	Caring and respectful nature of Spread a Smile team Very Poor	Caring and respectful nature of Spread a Smile team Not Applicable
Communication with Spread a Smile team	Communication with Spread a Smile team Outstanding	Communication with Spread a Smile team Very Good	Communication with Spread a Smile team Good	Communication with Spread a Smile team Poor	Communication with Spread a Smile team Very Poor	Communication with Spread a Smile team Not Applicable
Feeling listened to by Spread a Smile team	Feeling listened to by Spread a Smile team Outstanding	Feeling listened to by Spread a Smile team Very Good	Feeling listened to by Spread a Smile team Good	Feeling listened to by Spread a Smile team Poor	Feeling listened to by Spread a Smile team Very Poor	Feeling listened to by Spread a Smile team Not Applicable
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 Poor	Quality of Spread a Smile entertainment Very Poor	Quality of Spread a Smile entertainment Not Applicable
Responsiveness to my child's needs during entertainer visits	Responsiveness to my child's needs during entertainer visits Outstanding	Responsiveness to my child's needs during entertainer visits Very Good	Responsiveness to my child's needs during entertainer visits Good	Responsiveness to my child's needs during entertainer visits Poor	Responsiveness to my child's needs during entertainer visits Very Poor	Responsiveness to my child's needs during entertainer visits Not Applicable
Ability to adapt entertainment to how my child is feeling	Ability to adapt entertainment to how my child is feeling Outstanding	Ability to adapt entertainment to how my child is feeling Very Good	Ability to adapt entertainment to how my child is feeling Good	Ability to adapt entertainment to how my child is feeling Poor	Ability to adapt entertainment to how my child is feeling Very Poor	Ability to adapt entertainment to how my child is feeling Not Applicable
Online safety during virtual visits	Online safety during virtual visits Outstanding	Online safety during virtual visits Very Good	Online safety during virtual visits Good	Online safety during virtual visits Poor	Online safety during virtual visits Very Poor	Online safety during virtual visits Not Applicable
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 Poor	Overall experience of Spread a Smile Very Poor	Overall experience of Spread a Smile Not Applicable

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

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

11. Please tell us how Spread a Smile services have made a difference to any siblings.

12. How much do you agree or disagree with the following statements about Spread a Smile's Entertainer Visits? (Virtual and In-Person) *

	Strongly Agree	Agree	Not sure	Disagree	Strongly Disagree	Not applicable
They provide a distraction from treatment and/or procedures	They provide a distraction from treatment and/or procedures Strongly Agree	They provide a distraction from treatment and/or procedures Agree	They provide a distraction from treatment and/or procedures Not sure	They provide a distraction from treatment and/or procedures Disagree	They provide a distraction from treatment and/or procedures Strongly Disagree	They provide a distraction from treatment and/or procedures Not applicable
They help to distract from pain	They help to distract from pain Strongly Agree	They help to distract from pain Agree	They help to distract from pain Not sure	They help to distract from pain Disagree	They help to distract from pain Strongly Disagree	They help to distract from pain Not applicable
They help to reduce anxiety	They help to reduce anxiety Strongly Agree	They help to reduce anxiety Agree	They help to reduce anxiety Not sure	They help to reduce anxiety Disagree	They help to reduce anxiety Strongly Disagree	They help to reduce anxiety Not applicable
They help boost confidence and self-esteem	They help boost confidence and self-esteem Strongly Agree	They help boost confidence and self-esteem Agree	They help boost confidence and self-esteem Not sure	They help boost confidence and self-esteem Disagree	They help boost confidence and self-esteem Strongly Disagree	They help boost confidence and self-esteem Not applicable
They encourage interaction and socialisation with others	They encourage interaction and socialisation with others Strongly Agree	They encourage interaction and socialisation with others Agree	They encourage interaction and socialisation with others Not sure	They encourage interaction and socialisation with others Disagree	They encourage interaction and socialisation with others Strongly Disagree	They encourage interaction and socialisation with others Not applicable
They create memories	They create memories Strongly Agree	They create memories Agree	They create memories Not sure	They create memories Disagree	They create memories Strongly Disagree	They create memories Not applicable
They make the hospital environment seem less scary	They make the hospital environment seem less scary Strongly Agree	They make the hospital environment seem less scary Agree	They make the hospital environment seem less scary Not sure	They make the hospital environment seem less scary Disagree	They make the hospital environment seem less scary Strongly Disagree	They make the hospital environment seem less scary Not applicable
They improve the overall hospital experience	They improve the overall hospital experience Strongly Agree	They improve the overall hospital experience Agree	They improve the overall hospital experience Not sure	They improve the overall hospital experience Disagree	They improve the overall hospital experience Strongly Disagree	They improve the overall hospital experience Not applicable
They improve my child's mood	They improve my child's mood Strongly Agree	They improve my child's mood Agree	They improve my child's mood Not sure	They improve my child's mood Disagree	They improve my child's mood Strongly Disagree	They improve my child's mood Not applicable
They are tailored appropriately to age and ability of my child	They are tailored appropriately to age and ability of my child Strongly Agree	They are tailored appropriately to age and ability of my child Agree	They are tailored appropriately to age and ability of my child Not sure	They are tailored appropriately to age and ability of my child Disagree	They are tailored appropriately to age and ability of my child Strongly Disagree	They are tailored appropriately to age and ability of my child Not applicable
Spread a Smile takes the time to understand the needs of my child and family	Spread a Smile takes the time to understand the needs of my child and family Strongly Agree	Spread a Smile takes the time to understand the needs of my child and family Agree	Spread a Smile takes the time to understand the needs of my child and family Not sure	Spread a Smile takes the time to understand the needs of my child and family Disagree	Spread a Smile takes the time to understand the needs of my child and family Strongly Disagree	Spread a Smile takes the time to understand the needs of my child and family Not applicable

13. Do you feel that an interaction with Spread a Smile entertainers can help make procedures less distressing?

	Very likely	Likely	Neither likely nor unlikely	Unlikely	Very unlikely
Please select	Please select Very likely	Please select Likely	Please select Neither likely nor unlikely	Please select Unlikely	Please select Very unlikely

14. Do you feel that an interaction with Spread a Smile entertainers can help make procedures easier to manage?

	Very likely	Likely	Neither likely nor unlikely	Unlikely	Very unlikely
Please select	Please select Very likely	Please select Likely	Please select Neither likely nor unlikely	Please select Unlikely	Please select Very unlikely

15. Please share any other comments or feedback with us about the impact of our work or to help us improve

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