Take a couple of minutes to share your experiences 

NHS and social care staff are doing the best they can in difficult circumstances, but there might be things about your care that were great or that could be improved. Please take a moment to share your story with us. 

This survey is confidential and giving us feedback will not affect your care. See the "How we use this information" at the end of the page for more information. 

This survey is also available in Easy Read

Do you need advice or information? 

If you need help in an emergency please call 999. For urgent out of hours care you can call 111.

If you need advice or information about services in your area, then talk to your local Healthwatch. They can help you find reliable information you can trust. 

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

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 is completely confidential and will not affect your care. 

We use this information to help 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. 

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 share 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 communications materials? We won’t pass on your name and contact details to the media without your consent and without speaking to you first about what it involves.

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