Take five minutes to share your experiences... 

The information you share helps us identify trends and highlight areas that may need improvement. To understand how we will use your information, please read the ‘How we use this information’ section at the end of the page.

Take the survey in BSL

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1. What time period does this health or social care service experience relate to? Your experience could be anything from a GP or hospital appointment through to care assessments or visiting a pharmacy.
2. 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.
eg. the GP surgery name or hospital department
What went well? What could have been better?
5. How easy was it to access the help and support you needed?
6. How would you describe your experience of care?
7. In relation to this experience please select what best describes you

If you have experienced poor mental health in the last 2 years, we are also keen to hear about your experiences. You don't need to complete this section if you have already shared a mental health support experience in the above section (unless you'd like to). 

Was the service good or bad? How long did you wait for help? Were you given advice about self-care, or websites to assist 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 - you don't need to answer them if you don't want to.

10. Where do you live?
12. Please tell us your gender
14. Please tell us which sexual orientation you identify with
15. Please select your ethnicity
16. Please select any of the following that apply to you
17. Which of the following best describes your financial status?

How we use this information

Your answers will help NHS and care services. 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. We will log your feedback and share what you tell us with the organisations who make decisions about local health and care services. We take out any information that could identify you when we do this.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to 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? 

We'd love to tell your story and keep you updated about our work and the difference sharing your experiences with us can make. 

Using your story for media

To promote our campaigns we use people's stories to show what needs to change. The media (newspapers, radio or TV) ask if we have people who can their story when we publish a press release about our research. 

Would you be happy for us to contact you about your experience for media purposes or to use your story as a case study in our material? We won’t pass on your name and contact details to the media without speaking to you first about what it involves. If you agree, this means we will keep your details on file for 2 years. 

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Help if you need it 

Do you want our Information and Signposting team to contact you? This is so they can give you information about services that could help. 

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If yes, enter your name and email address.
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