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Your experience of the COVID-19 vaccination programme
Healthwatch Sunderland and Healthwatch South Tyneside provide an independent voice for people who use publicly funded health and social care services. Our role is to ensure that people’s views are listened to and fed back to service providers and commissioners in order to improve services.
 
We are currently working with the NHS to find out people's experiences of receiving their COVID-19 vaccine in the Sunderland and South Tyneside areas by asking those who have had their vaccine to complete this short survey   The results of this survey will be shared with the NHS to help them understand directly from you what is going well, but also what else could be done to improve the delivery of the vaccine to local people.

The survey should take no longer than 5-10 minutes to complete.


Healthwatch Sunderland and Healthwatch South Tyneside take your privacy seriously. The information you provide on this form will be stored electronically.  Your comments will be shared with NHS commissioning teams, healthcare providers and Healthwatch England, to help them improve services. We treat all information confidentially and will only share this information in the exercise of our public function as a local Healthwatch.

A bit about you

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* 1. Please provide the first three or four digits of your postcode e.g. (SR4, NE38, NE10, NE31 etc.)

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* 2. Please can you tell us if you have had your .....

Receiving your invitation for an appointment

If you have received your first injection only, please ignore the questions asking about your second injection or select 'does not apply'.

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* 3. How were you invited to make you appointment to receive your vaccine?

  First injection Second injection
Does not apply / Have not been invited yet
I received a text message
I received a letter
I received an email
I received a telephone call
Face-to-face (at a GP appointment or a home visit for example)
Through my place of work
Self-referral
Other (please write in below)

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* 4. If you received your invitation via another method, please tell us how in the space below;

Booking your appointment

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* 5. How easy was it for you to book your appointments?

  First injection Second injection
Does not apply / Have not booked this vaccination yet
Very easy
Fairly easy
Neither easy nor difficult
Fairly difficult
Very difficult
Don't know/ can't remember / someone else booked if for me

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* 6. Please can you tell us what you found easy or difficult when booking your appointment for a COVID-19 vaccination

Venue for your vaccination

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* 7. Where did you receive your vaccination?

  First injection Second injection
Does not apply / Have not received vaccination yet
Sunderland Nightingale hospital
Vaccination centre at Bunnyhill Primary Care Centre
Vaccination centre at Houghton Primary Care Centre
Vaccination centre at Washington Primary Care Centre
Vaccination centre at Grindon Lane Primary Care Centre
Vaccination centre at Millfield Medical Centre
Vaccination Centre Sunderland Bangladesh International Centre
Cleadon Park Primary Care Centre
Flagg Court Primary Care Centre
The Glen Primary Care Centre
At home
At hospital
At GP practice (please specify below)
At my place of work (please specify below)
Other (please specify below)

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* 8. If you received a vaccination at a GP practice, at work, or other venue, please tell us where this was in the box below

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* 9. How easy or difficult did you find it to get to the venue for your vaccination?

  First injection Second injection
Does not apply / have not received the vaccination yet
Did not apply - did not need to travel for vaccination
Very easy
Fairly easy
Neither easy nor difficult
Fairly difficult
Very difficult
Don't know / can't remember

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* 10. Please tell us more information about why you found it easy or difficult to travel for your vaccination.

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* 11. When arriving at the venue were you met and shown where to go?

  First injection Second injection
Does not apply / Have not received vaccination yet
Did not apply - did not need to travel for vaccination
Yes
No
Don't know / can't remember
Receiving your injection

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* 12. Were you told which vaccination you were getting?

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* 13. When receiving the vaccine was it explained to you about possible side effects?

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* 14. Please tell us how much you agree or disagree with the following statements;

  Does not apply Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don't know / can't remember
I felt safe while receiving my injection
The staff wore correct PPE (face masks, gloves, aprons, visors etc.)
Social distancing measures were in place
People followed social distancing measures
Hand sanitisers were available
The staff were helpful
Information to take away with you

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* 15. After receiving your vaccination/s did you receive a vaccination record card?

  First injection Second injection
Yes
No
Don't know / can't remember
Please note that if you didn't receive a vaccination card or you have since misplaced it, your GP has of a record of your vaccine.

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* 16. Did you receive an information leaflet to take away with you?

  First injection Second injection
Yes 
No
Don't know / can't remember

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* 17. If you received some information to take away with you, did you find it helpful or unhelpful?

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* 18. If you found the information helpful or unhelpful, please tell us more in the space below;

Second vaccinations

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* 19. After you had your first injection, were you given the date and time of your second vaccination?

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* 20. If you did not have a second vaccination appointment arranged, or your vaccination appointment was cancelled, did anyone explain to you what would happen when it was time for you to get your second vaccination?

Overall

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* 21. Overall how would you rate your experience of receiving your vaccine?

  First injection Second injection
Does not apply / have not received vaccination yet
Very good
Good
Fair
Poor
Very poor
Don't know / can't remember

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* 22. Would you like to add any additional comments about your overall experience?

Tell us a bit more about you

By telling us more information about yourself, you can help us better understand how people's experiences may differ depending on their personal characteristics. However if you do not wish to answer these questions you do not have to

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* 23. Please tell us which age category you fall into?

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* 24. Please tell us which gender you identify with

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* 25. Please select your ethnic background

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* 26. Are you currently pregnant or have you been pregnant in the last year?

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* 27. Do you consider yourself to be a carer, have a disability or a long term health condition? (please select all that apply):

Many thanks for completing this survey, we value you your time and feedback.

If you require support during this time both Healthwatch Sunderland and Healthwatch South Tyneside have dedicated pages on our websites to help you find all of the latest local and national advice, information and support about coronavirus.

You can view this information for the Sunderland area and contact Healthwatch Sunderland using the details below;

https://www.healthwatchsunderland.com/coronavirus-links
Tel: (0191) 5147145
Email: healthwatchsunderland@pcp.uk.net

To view this information for the South Tynesdie and to contact Healthwatch South Tyneside use the details below;

https://www.healthwatchsouthtyneside.co.uk/latest-covid-19-information-and-advice/
Tel: (0191) 4897952
Email: info@healthwatchsouthtyneside.co.uk


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