Your Annual Health Check Some questions about your Annual Health Check Introduction from NHS Dorset Introduction from a young person Introduction From Someone With Lived Experience An Annual Health Check is a yearly check-up which often takes place at your doctor’s surgery. It may also happen at your home in some cases. Having a health check every year can help you find out if you have any health problems you need support with. NHS Dorset (Health) would like to hear what you think about your most recent annual health check. This will help us to make improvements and share positive experiences, as we want all annual health checks to be good. This survey is for people over the age of 14 who have had an annual health check. You can ask an adult / carer / supporter to complete these questions with you. You can find out more about the work we are doing by visiting our Website: https://nhsdorset.nhs.uk/health/learning-disability-and-autism/ or emailing: communication@nhsdorset.nhs.uk Thank you for taking part, you will be making a real difference to your local Health services. Question Title * 1. NHS Dorset CCG · Q1 Are you: A person with a learning disability A carer or family member for someone with a learning disability Other (please specify) Question Title * 2. NHS Dorset CCG · Q2 How old were you when you had your Annual Health Check? 16 - 25 26 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75+ Under 16 - Please write your age here: Question Title * 3. NHS Dorset CCG · Q3 Please tell us the name of your Doctors Surgery: Question Title * 4. NHS Dorset CCG · Q4 How were you contacted about your Annual Health Check? 3 Telephone 3 Text message 3 Letter Other Question Title * 5. If other, please tell us what: Question Title * 6. NHS Dorset CCG · Q6 What information were you sent before your appointment? 3 An easy read letter 3 Pre-health check questionnaire 3 Information on what to expect Unsure Question Title * 7. NHS Dorset CCG · Q7 Was this information easy for you to understand? 3 Yes 3 Maybe 3 No Unsure Question Title * 8. NHS Dorset CCG · Q8 Overall, what was your experience of your annual health check? 3 Good 3 OK 3 Not good Unsure Question Title * 9. NHS Dorset CCG · Q9 What did you think was good? Question Title * 10. NHS Dorset CCG · Q10 What do you think could have been better? Question Title * 11. NHS Dorset CCG · Q11 Did the person doing the health check talk to you in a way that you understood? 3 Yes 3 Sometimes 3 No Unsure Question Title * 12. NHS Dorset CCG · Q12 Please tell us more about your answer Question Title * 13. NHS Dorset CCG · Q13 Did you feel listened to? 3 Yes 3 Maybe 3 No Unsure Question Title * 14. NHS Dorset CCG · Q14 Please tell us more about your answer Question Title * 15. NHS Dorset CCG · Q15 Did you take away a health action plan? 3 Yes 3 Maybe 3 No Unsure Question Title * 16. NHS Dorset CCG · Q16 Please tell us any other comments, ideas or suggestions you might have about annual health checks here. Next