Your local Healthwatch gives you the chance to say what you think about how local health and social care services are run. Your experiences are important and can help to inform the commissioners and service providers, who have the power to make changes. Whether it is a compliment, concern or complaint, it is easy to tell us about your experience by completing and submitting this form or contacting us through the details provided at the bottom of this form.

This patient experience survey has been designed to understand the experiences of patients and service users when accessing mental health services.

If you would like to give feedback on more than one service, please fill in the form separately for each service. You can complete the form as many times as you would like.

By completing this form, you consent to your data being used anonymously by your local Healthwatch office. For more information please visit or your local Healthwatch website,, and