EDS 2018 SERVICE GRADES Question Title * 1. WWL Breast Screening Service reaches and benefits all local communities - Based on the evidence we have provided, Do you agree with our proposed grade of 'Achieving'? Yes No OK Question Title * 2. If No, please state why OK Question Title * 3. People report positive experiences of the NHS - Based on the evidence we have provided, Do you agree with our proposed grade of 'Achieving' Yes No OK Question Title * 4. If No, please state why OK Question Title * 5. Overall how would you rate your experience of using hospital services? 0 (poor) 10 (excellent) Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 6. Please provide any further information OK Question Title * 7. What is your gender? Male Female Trans Other OK Question Title * 8. What is you age range? 16-29 30-39 40-49 50-59 60-69 70-79 80+ OK Question Title * 9. To which ethnic group do you belong White British White Irish Black African White & Black Caribbean Asian Other background Black Caribbean Bangladeshi Other Black Background Other Mixed Background Indian Pakistani Chinese White & Asian Other White Background OK Question Title * 10. Do you consider yourself to have a disability? Yes No OK Question Title * 11. If yes, please state OK Question Title * 12. To which religion / belief do you belong? Christian Buddhism Hindu Jewish Muslim Sikh None (no religion) Other OK Question Title * 13. What is your sexual orientation? Heterosexual (attracted to opposite sex) Gay Man Gay Woman / Lesbian Bisexual (attracted to both males and females) Other OK Question Title * 14. What is your Marital status? Single Married Divorced Widowed Civil Partnership (same sex marriage) OK DONE