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Share your views

It only takes a minute to tell us about your experience of health and social care. We use your views to raise concerns with the people running NHS and social care services to make care better.

Please share your experience with us

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. Your feedback can help service providers to spot issues that are affecting care for you and your loved ones.

You don't have to answer all the questions if you do not wish to.

Your name

Please enter your name.

Your email address *

Please enter your email address, or a phone number if you prefer.

What area of care would you like to talk to us about? *

Accident and emergency/minor injury units

Ambulances and paramedics

GP services

Hospital inpatient (day treatment or overnight)

Hospital outpatients’ appointments

Mental health services

NHS dental services

NHS 111

Pharmacy services

Social care e.g. care homes, and home care

Other (If the area of care is not in this list, please tell us what it is in the box below)

Select the area(s) of care that you would like to share your views on from the list above.

Name of service

If applicable, please enter the name of the service you would like to tell us about.

Your experience *

Please tell us about your experience here.

Where you live *

North Warwickshire

Nuneaton & Bedworth

Rugby

Warwick District (including Leamington and Kenilworth)

Stratford District (including Shipston and Alcester)

What district best describes where you live?

Where did you hear about Healthwatch Warwickshire?

A friend or family member told me about it

NHS leaflet

Saw a Healthwatch poster/ leaflet

Google search

Social Media (e.g. Facebook/ Twitter)

Other media (radio/ newspaper)

NHS Staff

Other

How would you rate your care experience? *

Good

Neither good nor bad

Poor

I had a mixed experience of care

Don't know/ not sure

In relation to this experience, please select what best describes you? *

I’m the person who received the care

I’m providing this feedback on behalf of a friend or relative, or because I’m their carer

Other

Tell us a bit 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. If you do not wish to answer these questions you do not have to, however, please don't forget to scroll to the bottom and click submit.

Please tell us your age

Please tell us which gender you identify with

Is your gender different to the sex you were assigned at birth?

i.e. Are you a different gender now compared to what it was when you were born?

Please tell us which sexual orientation you identify with

Please select your ethnicity

If other, please specify

Please select which religion or belief you identify with

If other religion, please tell us more

What is your current partnership (or relationship) status?

Please select any of the following that apply to you:

Currently pregnant

Currently breastfeeding

Given birth in the last 26 weeks

Prefer not to say

Not applicable

Please select any of the following that apply to you:

I have a disability

I have a long term condition

I am a carer

None of the above

I prefer not to say

Consent *

I agree to my personal data being used and stored by Healthwatch.

Tick this box if you're happy to give consent. We will only use your email address or phone number to contact you about your feedback and for no other purpose. You have the right to withdraw your consent at any time. Please see our Privacy Terms & Conditions for more information.

Thank you for your time!

People around tables at a Healthwatch event

How does sharing your views make a difference?

Read how we're using what you tell us to help make a positive change to local health and care services in our news and reports.

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