Share your experiences 

Please share your views on your experiences on accessing health and social care, whether this was good or bad.
This should only take 5 minutes for you to fill in.

To understand how we will use your information read the 'privacy statement' in the 'How we use this information' on this page.

Complete the survey

1. Choose the area of care you would like to tell us about?
Please select the options that you'd like to talk to us about. You can pick more than one.
What went well? What could have been better?
eg. the GP surgery name or hospital department
4. How easy was it to access the help and support you needed?
5. How would you describe your experience of care?
6. In relation to this experience please select what best describes you

Tell us a bit about you

It would really help to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary.

8. Please tell us your gender
10. Please tell us which sexual orientation you identify with
11. Please select your ethnicity
12. Please select any of the following that apply to you
13. Which of the following best describes your financial status?

How we use this information

The information you share with us helps us spot trends to identify areas for improvement. We may use quotes in our reports, but we will not use any information that will identify you.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to help us understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion. 

If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous.

Find out more about how we handle your information in our privacy statement

Can we stay in touch? 

Would you be happy for us to contact you about your experiences and offer support? We won’t pass on your name and contact details without contacting you first.

Please select
Please select
If yes, enter your name and email address.
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