How we can engage better in Oldham Survey

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* 1. How would you like to receive information about Health Services in Oldham?

Poster in GP Surgery

Social Media updates

Newspaper advert

Letters

Invite to Focus Group

Invite to event

Website update

Video clips

Other (please specify)

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* 2. Would you attend a focus group or event about health care? (tick all that apply)

Yes, Morning times

Yes, Afternoon times

Yes, Early Evening

Yes, Weekends

If you've chosen no, can you tell us why?

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* 3. Do you have a suggestion for how we can involve our local communities in conversations better?

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* 4. Please tell us your postcode, this helps us understand which communiteies we need to target better in our engagement and who is already engaged.

The following questions are Equality & Diversity, we ask these questions so that we can understand who we are engaging with and who we still need to engage with

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* 5. What is your ethnic group?

White British

White Irish

East European

Gypsy/Roma/Traveler

White other background

Mixed

White and Black Caribbean

White and Black African

White and Asian

Mixed other background

Asian or Asian British

Indian

Pakistani

Bangladeshi

Asian other background

Black or Black British

Caribbean

African

Any other Black background

Chinese or other ethnic group

Chinese

Any Other

Prefer not to say

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* 6. Are you pregnant, on maternity leave or returning from maternity leave?

Yes

Prefer not to say

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* 7. Are you a military veteran?

Yes

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* 8. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 9. What is your gender?

Male (including trans man)

Female (including trans woman)

Prefer not to say

Non-binary (someone who identifies as neither man or woman)

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* 10. What is your gender?

Male (including trans man)

Female (including trans woman)

Prefer not to say

Non-binary (someone who identifies as neither man or woman)

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* 11. Is this the gender you were assigned at birth?

Yes

Prefer not to say

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* 12. Do you consider yourself to have a disability or long lasting illness? This is defined as a physical or mental impairment that has a substantial and long-term negative effect on your ability to do normal daily activities.

Yes

Prefer not to say

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* 13. How would you describe your religious belief?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

None

Prefer not to say

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* 14. Which of the following options best describes how you think of yourself?

Heterosexual / Straight

Lesbian

Gay

Bisexual

Unsure

Not stated

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* 15. Are you an unpaid carer?

Yes

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* 16. If you have responded yes to the above, do you look after, or give any help or support to family members, friends, neighbours or others because of either long-term physical or mental ill-health/disability or problems related to old age?

Yes, 1-19 hours a week

Yes, 20-49 hours a week

Yes, 50 or more hours a week