{"id":13073,"date":"2021-06-15T16:03:46","date_gmt":"2021-06-15T15:03:46","guid":{"rendered":"https:\/\/www.brookmedicalcentre.nhs.uk\/?page_id=13073"},"modified":"2021-06-15T16:03:46","modified_gmt":"2021-06-15T15:03:46","slug":"community-information-pack-2021-2","status":"publish","type":"page","link":"https:\/\/www.brookmedicalcentre.nhs.uk\/clinics-and-services\/useful-forms-2\/community-information-pack-2021-2\/","title":{"rendered":"Community Information Pack 2021"},"content":{"rendered":"\n<p>This year Brook Medical Centre has put together a useful care information pack which is free to all patients. This has useful information about the Practice, local care services, charities and much more.<\/p>\n\n\n\n<p>We recommend all of our vulnerable or elderly patients take the time to read or download this.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a href=\"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-content\/uploads\/2021\/06\/Community-Care-Information-Pack-2021.pdf\">Community Care Information Pack 2021<\/a><a href=\"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-content\/uploads\/2021\/06\/Community-Care-Information-Pack-2021.pdf\" class=\"wp-block-file__button\" download>Download<\/a><\/div>\n\n\n\n<p class=\"has-text-align-center has-large-font-size\"><strong>Feedback Form<\/strong><\/p>\n\n\n<link rel='stylesheet' id='formidable-css' href='https:\/\/www.brookmedicalcentre.nhs.uk\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=4271706' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_big_text\" id=\"frm_form_50_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_brookmedicalcentrelongtermconditionreviewfeedbackform\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Brook Medical Centre Long Term Condition review feed back form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"50\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_50\" id=\"frm_hide_fields_50\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"brookmedicalcentrelongtermconditionreviewfeedbackform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_50\" name=\"frm_submit_entry_50\" value=\"90cae01a81\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/13073\" \/><div id=\"frm_field_1268_container\" class=\"frm_form_field  frm_html_container form-field\">We use this form at Brook Medical Centre to improve our care and services. Your feedback is greatly appreciated by the team at Brook Medical Centre.<\/div>\n<div id=\"frm_field_1269_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_agq0b\" id=\"field_agq0b_label\" class=\"frm_primary_label\">Were you happy with your experience at Brook Medical Centre?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_agq0b\" name=\"item_meta[1269]\" value=\"\"  data-reqmsg=\"Were you happy with your experience at Brook Medical Centre? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1270_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_iwd4s\" id=\"field_iwd4s_label\" class=\"frm_primary_label\">On a scale of 1-10, 1 being the lowest score and 10 being the highest how would you rate the quality of your care?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1270]\" id=\"field_iwd4s\"  data-frmval=\"10\" data-invmsg=\"On a scale of 1-10, 1 being the lowest score and 10 being the highest how would you rate the quality of your care? is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"1\">1<\/option><option  value=\"2\">2<\/option><option  value=\"3\">3<\/option><option  value=\"4\">4<\/option><option  value=\"5\">5<\/option><option  value=\"6\">6<\/option><option  value=\"7\">7<\/option><option  value=\"8\">8<\/option><option  value=\"9\">9<\/option><option  value=\"10\" selected='selected'>10<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1273_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_n0feq\" id=\"field_n0feq_label\" class=\"frm_primary_label\">Please give more information on why you gave a score of less than 5?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n0feq\" name=\"item_meta[1273]\" value=\"\"  data-reqmsg=\"Please give more information on why you gave a score of less than 5? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1271_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_6w8qr\" id=\"field_6w8qr_label\" class=\"frm_primary_label\">did you feel involved in the completion of your assessment?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6w8qr\" name=\"item_meta[1271]\" value=\"\"  data-reqmsg=\"did you feel involved in the completion of your assessment? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1272_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_l77be\" id=\"field_l77be_label\" class=\"frm_primary_label\">Did you feel supported throughout your experience?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l77be\" name=\"item_meta[1272]\" value=\"\"  data-reqmsg=\"Did you feel supported throughout your experience? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__65217cb6d2f3c\">\n\t\t\t\t<label for=\"frm_email_50\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_50\" type=\"text\" class=\"frm_verify\" name=\"frm__65217cb6d2f3c\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"K2YDH6qioTr2CrYKxfTkjQi2xI+ZutmK44+yE+hyWi0N2e+rP1\/GSFzw02WWsfKl\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>This year Brook Medical Centre has put together a useful care information pack which is free to all patients. This has useful information about the Practice, local care services, charities and much more. We recommend all of our vulnerable or elderly patients take the time to read or download this. Feedback Form<\/p>\n","protected":false},"author":6577926,"featured_media":0,"parent":8241,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_uag_custom_page_level_css":"","footnotes":"","_links_to":"","_links_to_target":""},"acf":[],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"mailpoet_newsletter_max":false},"uagb_author_info":{"display_name":"George-Gilby","author_link":"https:\/\/www.brookmedicalcentre.nhs.uk\/author\/george-gilby\/"},"uagb_comment_info":0,"uagb_excerpt":"This year Brook Medical Centre has put together a useful care information pack which is free to all patients. This has useful information about the Practice, local care services, charities and much more. We recommend all of our vulnerable or elderly patients take the time to read or download this. Feedback Form","publishpress_future_action":{"enabled":false,"date":"2024-05-08 14:51:28","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/pages\/13073"}],"collection":[{"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/users\/6577926"}],"replies":[{"embeddable":true,"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/comments?post=13073"}],"version-history":[{"count":1,"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/pages\/13073\/revisions"}],"predecessor-version":[{"id":13074,"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/pages\/13073\/revisions\/13074"}],"up":[{"embeddable":true,"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/pages\/8241"}],"wp:attachment":[{"href":"https:\/\/www.brookmedicalcentre.nhs.uk\/wp-json\/wp\/v2\/media?parent=13073"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}