Healthwatch North East Lincolnshire Survey 2018 Question Title * 1. Age 11-15 16-19 20-24 25-40 41-55 56-70 70+ OK Question Title * 2. Gender Male Female Other Prefer not to say OK Question Title * 3. Employment Status School Further/Higher Education Carer Retired Not in Employment, Education or Training Employed Part-time Employed Full-time Other Prefer not to say OK Question Title * 4. How often have you used any kind of Health Service in the past 12 months? 0 1-5 times 5-10 times 10 - 15 times 20+ OK Question Title * 5. Which of these services have you used in the last 12 months? Tick all that apply GP Out of Hours GP Drop in GP Services Hospital A&E Hospital In Patients Hospital Out Patients Pharmacy/Chemist Dentist Optician Sexual Health Service Drug & Alcohol Services Weight Management Ambulance Services Child & Adolescent Mental Health Services (CAMHS) Mental Health Services Home Care Support Young Carers Services Carers Services Community Services e.g. Community Nurse, physio etc. OK Question Title * 6. Of all the services you have used in the last 12 months, please tick all the ones that you were happy with. GP Out of Hours GP Drop in GP Services Hospital A&E Hospital In Patients Hospital Out Patients Pharmacy/Chemist Dentist Optician Sexual Health Service Drug & Alcohol Services Weight Management Ambulance Services Child & Adolescent Mental Health Services (CAMHS) Mental Health Services Home Care Support Young Carers Services Carers Services Community Services e.g. Community Nurse, physio etc. OK Question Title * 7. Please comment why you were happy with the services you chose. Please let us know the practice, service or provider name if you can. This helps us highlight good practice. OK Question Title * 8. Of all the services you have used in the last 12 months, please tick all the ones that you were unhappy with. GP Out of Hours GP Drop in GP Services Hospital A&E Hospital In Patients Hospital Out Patients Pharmacy/Chemist Dentist Optician Sexual Health Service Drug & Alcohol Services Weight Management Ambulance Services Child & Adolescent Mental Health Services (CAMHS) Mental Health Services Home Care Support Young Carers Services Carers Services Community Services e.g. Community Nurse, physio etc. OK Question Title * 9. Please comment why you were unhappy with the services you chose. Please let us know the practice, service or provider name if you can. This helps us highlight bad practice. OK Thank you for completing this short survey for Healthwatch North East Lincolnshire. The information you shared with us today helps us represent your views of local health & social care services to commissioners and providers. This will help them to improve by telling them what patients think could be better but at the same time highlighting what works well. OK DONE