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Take five minutes to share your experiences 

NHS and social care staff are doing everything they can to keep us well during these challenging times, but there might be things that can be improved for you and your loved ones. Please take five minutes to share your story with us.

To understand how we will use your information read the 'How we use this information' at the end of the 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

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? 

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 as part of a case study.

To promote our campaigns we use people's stories to show what needs to change. 

Would you be happy for us to contact you about your experience to use your story as a case study in our material? 

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