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Misnaming survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What is your gender?
Select one or more answers
Male
Female
Non-Binary
Prefer not to say
Other (please specify)
2
How would you describe your racial or ethnic background?
3
Have you ever been misnamed (i.e. being called the wrong name) whilst working in this post?
Select one or more answers
Yes
No
Unsure
4
How often have you experienced being misnamed at work?
Select one or more answers
1 time
2-5 times
5+ times
Other (please specify)
5
If you have been misnamed, how often has this happened in front of patients?
Select one or more answers
Never
Rarely
Sometimes
Often
Always
6
If you have been misnamed, has this ever happened via email/in a written format?
Select one or more answers
Yes
No
7
If you have been misnamed could you tell us what category of professional/s were involved?
Select one or more answers
Consultant
Other SpR colleague
Nurse
Healthcare assistant
Radiographer
Prefer not to say
Other (please specify)
8
Have you ever experienced any of the following as a result of being misnamed?
Select one or more answers
Frustration
Feeling disrespected or undervalued
Embarrassment
Upset
Other (please specify)
9
If you feel able, please comment on the impact misnaming has had on you and your perception of the department?
10
If you have been misnamed, do you feel that this has ever had a negative impact on your training?
Please detail below if you feel able
11
If you have been misnamed, did you feel able to raise this?
Select one or more answers
Yes-with the colleague involved
Yes-with another colleague
No
Prefer not to say
Other (please specify)
12
In your opinion what could the department do to reduce the occurrence of misnaming?
13
Is there anything else you would like to share regarding misnaming at work?
Submit