PiCC Service – Patient Satisfaction Survey

We would like to know how our PiCC service is doing - please complete the form below.

How did we do?

Note: Questions marked by * are mandatory


  Yes No Not Applicable
*This is a mandatory field. Do you feel you were sufficiently involved in the decision to refer you to the PiCC service?
*This is a mandatory field. Was your PiCC nurse professional and friendly?
*This is a mandatory field. Was the information you received appropriate and clear?
*This is a mandatory field. Were you given the opportunity to ask questions prior to your procedure?
*This is a mandatory field. Was your line inserted in a private and clean clinical area?
*This is a mandatory field. Did you feel empowered to challenge any mishandling of your line on the ward?
*This is a mandatory field. Do you feel the PiCC nurse carried out your post-insertion visit in a timely manner?
*This is a mandatory field. Were you given the contact information for the PiCC service?
*This is a mandatory field. Do you feel like you can contact the service for further information or support?
*This is a mandatory field. Are you satisfied that the line achieved the desired outcome?
*This is a mandatory field. Would you consider having a line again, if needed?