Needle set survey

for Patients / Parents/ Carers / Health Care Professionals

 

Hello, we are carrying out a survey to capture your (the patient) experience of using the neria (thalaset) needles and for those who have received samples of a newer version. We have received many reports of issues with the current “neria thalasets” and as result would like to capture more data on this.  Your participation in this is survey is completely voluntary and your data will be anonymised. 

What do we intend to do with the data collected?

The data collected will be turned into a report which will then be presented to the four Haemoglobinopathy Coordinating Centres for thalassaemia and to the specialised commissioning team. A copy of this report will also be available on our website.

We know that you may have filled several of these surveys before, but your answers will provide valuable feedback o and will help us to know what is working well and what needs improving in your current service.

We are committed to ensuring you receive the best care and overall experience, so we welcome all your comments.

Completing the full survey should take around 10 minutes. We greatly appreciate your time and involvement.

YesNo
Yes
No
PatientParentCarerHealthcare professional (HCP)?
Patient
Parent
Carer
Healthcare professional (HCP)?
ThalassaemiaSickle cellOther
Thalassaemia
Sickle cell
Other

The following questions are based on the neria (thalaset)

Very difficultDifficultNeutralEasyNot painful
Very difficult
Difficult
Neutral
Easy
Not painful
Extremely painfulPainNeutralNot very painfulNot painful
Extremely painful
Pain
Neutral
Not very painful
Not painful
Severe scarringModerate amount of scarringNeutralLittle scarringNo scarring
Severe scarring
Moderate amount of scarring
Neutral
Little scarring
No scarring
A lot of painful bumpsA moderate number of painful bumpsNeutralA few painful bumpsNo painful bumps
A lot of painful bumps
A moderate number of painful bumps
Neutral
A few painful bumps
No painful bumps
YesNo
Yes
No
Very difficultDifficultNeutralEasyVery easy
Very difficult
Difficult
Neutral
Easy
Very easy
YesNo
Yes
No

Neria Guard (new needle) to be answered by individuals who have tried the new needle.

Very difficultDifficultNeutralEasyVery easy
Very difficult
Difficult
Neutral
Easy
Very easy
Extremely painfulPainfulNeutralNot very painfulNot painful
Extremely painful
Painful
Neutral
Not very painful
Not painful
Severe scarringModerate amount of scarringNeutralLittle scarringNo scarring
Severe scarring
Moderate amount of scarring
Neutral
Little scarring
No scarring
A lot of painful bumpsPainful bumpsNeutralA few painful bumpsNo painful bumps
A lot of painful bumps
Painful bumps
Neutral
A few painful bumps
No painful bumps
Severely affectedModerately affectedNeutralSlightly affectedNot affected
Severely affected
Moderately affected
Neutral
Slightly affected
Not affected
Extreme DiscomfortModerate DiscomfortNeutralComfortableVery comfortable
Extreme Discomfort
Moderate Discomfort
Neutral
Comfortable
Very comfortable
Extreme DiscomfortModerate DiscomfortNeutralComfortableVery comfortable
Extreme Discomfort
Moderate Discomfort
Neutral
Comfortable
Very comfortable
YesNo
Yes
No
Very difficultDifficultNeutralVery easyEasy
Very difficult
Difficult
Neutral
Very easy
Easy
YesNo
Yes
No

Thank you for participating in this survey!