Please tell us who you are* Patient Relative / carer Member of public Member of staff Other Please specify What kind of feedback are you leaving?* Information request Suggestion / Comment Concern / Complaint Compliment What is the main subject of the feedback?* Admission, discharge & transfer arrangements All aspects of clinical treatment Appointments: delay / cancellation Attitude of staff Communication / information to patient Confidentiality Patients privacy & dignity The services involved are at* Harrogate District Hospital Ripon Community Hospital Selby MIU Community based service Other Please specify Who's care is your feedback about?* Myself A family member A friend Other Please specify Would you like to be contacted by a member of the Patient Experience Team to discuss your feedback?* Yes No Full details of your feedback*Your name* Telephone number* Email address* This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.