Take five minutes to share your experiences
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NHS and social care staff are doing everything they can during these challenging times, but there might be things that can be improved. Your feedback can help services spot issues that are affecting care for you and your loved ones.
Complete the survey
What type of service(s) would you like to talk to us about?
Select the service(s) that you would like to share your views on from the list above.
If other, please tell us which service you are referring to
How would you rate the standard of care/service?
Please tell us about your experience (For example: What went well? What could have been better?)
Enter your feedback here. If you'd rather be anonymous, avoid including things that can identify you.
Would you like to talk to us about your feedback?
This is if you need further information or to tell us more about your experience
Telephone number or email address
Tell us a bit more about you
By telling us more information about yourself, you will help us better understand how people's experiences may differ depending on their personal characteristics. However, if you do not wish to answer these questions you do not have to.
Please tell us which gender you identify with
- None - Man Woman Non-binary Transgender Prefer to self-describe Prefer not to say
Please tell us which age category you fall into
- None - 13 to 15 years 16 to 17 years 18 to 24 years 25 to 49 years 50 to 64 years 65 to 79 years 80+ years Prefer not to say Not known
Please note that we cannot accept responses from anyone aged under 13 years
Please select your ethnicity from the list below
- None - Arab Asian / Asian British: Bangladeshi Asian / Asian British: Chinese Asian / Asian British: Indian Asian / Asian British: Pakistani Asian / Asian British: Any other Asian / Asian British background (please specify) Black / Black British: African (please specify) Black / Black British: Caribbean Black / Black British: Any other Black / Black British background (please specify) Mixed / Multiple ethnic groups: Asian and White Mixed / Multiple ethnic groups: Black African and White Mixed / Multiple ethnic groups: Black Caribbean and White Mixed / Multiple ethnic groups: Any other Mixed / Multiple ethnic groups background (please specify) White: British / English / Northern Irish / Scottish / Welsh White: Irish White: Gypsy, Traveller or Irish Traveller White: Roma White: Any other White background (please specify) Any other ethnic group (please specify) Prefer not to say Not known
Do you consider yourself to have a disability?
Do you consider yourself to have a long term health condition?
Do you consider yourself to be a carer?
Please tell us which sexual orientation you identify with
- None - Asexual Bisexual Gay man Heterosexual / Straight Lesbian / Gay woman Pansexual Prefer to self-describe Prefer not to say Not known
Please describe your sexual orientation
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