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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

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 (Optional)

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 voluntary. If you would like us to get back to you please include your email address.

Please tell us your gender
Please tell us which sexual orientation you identify with
Please select your ethnicity
Please select any of the following that apply to you
Please select

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.