Question Title 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 Question Title * 1. Please provide the first three or four digits of your postcode e.g. (SR4, NE38, NE10, NE31 etc.) Question Title * 2. Please can you tell us if you have had your ..... Neither first or second injection yet First injection only Both the first and the second injection Receiving your invitation for an appointmentIf you have received your first injection only, please ignore the questions asking about your second injection or select 'does not apply'. Question Title * 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 Does not apply / Have not been invited yet First injection Does not apply / Have not been invited yet Second injection I received a text message I received a text message First injection I received a text message Second injection I received a letter I received a letter First injection I received a letter Second injection I received an email I received an email First injection I received an email Second injection I received a telephone call I received a telephone call First injection I received a telephone call Second injection Face-to-face (at a GP appointment or a home visit for example) Face-to-face (at a GP appointment or a home visit for example) First injection Face-to-face (at a GP appointment or a home visit for example) Second injection Through my place of work Through my place of work First injection Through my place of work Second injection Self-referral Self-referral First injection Self-referral Second injection Other (please write in below) Other (please write in below) First injection Other (please write in below) Second injection Question Title * 4. If you received your invitation via another method, please tell us how in the space below; First injection Second injection Booking your appointment Question Title * 5. How easy was it for you to book your appointments? First injection Second injection Does not apply / Have not booked this vaccination yet Does not apply / Have not booked this vaccination yet First injection Does not apply / Have not booked this vaccination yet Second injection Very easy Very easy First injection Very easy Second injection Fairly easy Fairly easy First injection Fairly easy Second injection Neither easy nor difficult Neither easy nor difficult First injection Neither easy nor difficult Second injection Fairly difficult Fairly difficult First injection Fairly difficult Second injection Very difficult Very difficult First injection Very difficult Second injection Don't know/ can't remember / someone else booked if for me Don't know/ can't remember / someone else booked if for me First injection Don't know/ can't remember / someone else booked if for me Second injection Question Title * 6. Please can you tell us what you found easy or difficult when booking your appointment for a COVID-19 vaccination First injection Second injection Venue for your vaccination Question Title * 7. Where did you receive your vaccination? First injection Second injection Does not apply / Have not received vaccination yet Does not apply / Have not received vaccination yet First injection Does not apply / Have not received vaccination yet Second injection Sunderland Nightingale hospital Sunderland Nightingale hospital First injection Sunderland Nightingale hospital Second injection Vaccination centre at Bunnyhill Primary Care Centre Vaccination centre at Bunnyhill Primary Care Centre First injection Vaccination centre at Bunnyhill Primary Care Centre Second injection Vaccination centre at Houghton Primary Care Centre Vaccination centre at Houghton Primary Care Centre First injection Vaccination centre at Houghton Primary Care Centre Second injection Vaccination centre at Washington Primary Care Centre Vaccination centre at Washington Primary Care Centre First injection Vaccination centre at Washington Primary Care Centre Second injection Vaccination centre at Grindon Lane Primary Care Centre Vaccination centre at Grindon Lane Primary Care Centre First injection Vaccination centre at Grindon Lane Primary Care Centre Second injection Vaccination centre at Millfield Medical Centre Vaccination centre at Millfield Medical Centre First injection Vaccination centre at Millfield Medical Centre Second injection Vaccination Centre Sunderland Bangladesh International Centre Vaccination Centre Sunderland Bangladesh International Centre First injection Vaccination Centre Sunderland Bangladesh International Centre Second injection Cleadon Park Primary Care Centre Cleadon Park Primary Care Centre First injection Cleadon Park Primary Care Centre Second injection Flagg Court Primary Care Centre Flagg Court Primary Care Centre First injection Flagg Court Primary Care Centre Second injection The Glen Primary Care Centre The Glen Primary Care Centre First injection The Glen Primary Care Centre Second injection At home At home First injection At home Second injection At hospital At hospital First injection At hospital Second injection At GP practice (please specify below) At GP practice (please specify below) First injection At GP practice (please specify below) Second injection At my place of work (please specify below) At my place of work (please specify below) First injection At my place of work (please specify below) Second injection Other (please specify below) Other (please specify below) First injection Other (please specify below) Second injection Question Title * 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 First injection Second injection Question Title * 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 Does not apply / have not received the vaccination yet First injection Does not apply / have not received the vaccination yet Second injection Did not apply - did not need to travel for vaccination Did not apply - did not need to travel for vaccination First injection Did not apply - did not need to travel for vaccination Second injection Very easy Very easy First injection Very easy Second injection Fairly easy Fairly easy First injection Fairly easy Second injection Neither easy nor difficult Neither easy nor difficult First injection Neither easy nor difficult Second injection Fairly difficult Fairly difficult First injection Fairly difficult Second injection Very difficult Very difficult First injection Very difficult Second injection Don't know / can't remember Don't know / can't remember First injection Don't know / can't remember Second injection Question Title * 10. Please tell us more information about why you found it easy or difficult to travel for your vaccination. First injection Second injection Question Title * 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 Does not apply / Have not received vaccination yet First injection Does not apply / Have not received vaccination yet Second injection Did not apply - did not need to travel for vaccination Did not apply - did not need to travel for vaccination First injection Did not apply - did not need to travel for vaccination Second injection Yes Yes First injection Yes Second injection No No First injection No Second injection Don't know / can't remember Don't know / can't remember First injection Don't know / can't remember Second injection Receiving your injection Question Title * 12. Were you told which vaccination you were getting? Yes No Don't know / can't remember Question Title * 13. When receiving the vaccine was it explained to you about possible side effects? Yes No Don't know / can't remember Question Title * 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 I felt safe while receiving my injection Does not apply I felt safe while receiving my injection Strongly agree I felt safe while receiving my injection Agree I felt safe while receiving my injection Neither agree nor disagree I felt safe while receiving my injection Disagree I felt safe while receiving my injection Strongly disagree I felt safe while receiving my injection Don't know / can't remember The staff wore correct PPE (face masks, gloves, aprons, visors etc.) The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Does not apply The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Strongly agree The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Agree The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Neither agree nor disagree The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Disagree The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Strongly disagree The staff wore correct PPE (face masks, gloves, aprons, visors etc.) Don't know / can't remember Social distancing measures were in place Social distancing measures were in place Does not apply Social distancing measures were in place Strongly agree Social distancing measures were in place Agree Social distancing measures were in place Neither agree nor disagree Social distancing measures were in place Disagree Social distancing measures were in place Strongly disagree Social distancing measures were in place Don't know / can't remember People followed social distancing measures People followed social distancing measures Does not apply People followed social distancing measures Strongly agree People followed social distancing measures Agree People followed social distancing measures Neither agree nor disagree People followed social distancing measures Disagree People followed social distancing measures Strongly disagree People followed social distancing measures Don't know / can't remember Hand sanitisers were available Hand sanitisers were available Does not apply Hand sanitisers were available Strongly agree Hand sanitisers were available Agree Hand sanitisers were available Neither agree nor disagree Hand sanitisers were available Disagree Hand sanitisers were available Strongly disagree Hand sanitisers were available Don't know / can't remember The staff were helpful The staff were helpful Does not apply The staff were helpful Strongly agree The staff were helpful Agree The staff were helpful Neither agree nor disagree The staff were helpful Disagree The staff were helpful Strongly disagree The staff were helpful Don't know / can't remember Information to take away with you Question Title * 15. After receiving your vaccination/s did you receive a vaccination record card? First injection Second injection Yes Yes First injection Yes Second injection No No First injection No Second injection Don't know / can't remember Don't know / can't remember First injection Don't know / can't remember Second injection 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. Question Title * 16. Did you receive an information leaflet to take away with you? First injection Second injection Yes Yes First injection Yes Second injection No No First injection No Second injection Don't know / can't remember Don't know / can't remember First injection Don't know / can't remember Second injection Question Title * 17. If you received some information to take away with you, did you find it helpful or unhelpful? Very helpful Fairly helpful Neither helpful nor unhelpful Fairly unhelpful Very unhelpful Don't know - did not read Don't know - can't remember Question Title * 18. If you found the information helpful or unhelpful, please tell us more in the space below; Second vaccinations Question Title * 19. After you had your first injection, were you given the date and time of your second vaccination? Yes - and this appointment has taken place Yes - this appointment is arranged for a future date Yes - but this appointment was cancelled and has not yet been rearranged. No - a second vaccination was not arranged Don't know / can't remember Question Title * 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? Yes - and I understand what will happen Yes - but I'm still unclear what would happen No - it was not explained to me Don't know / can't remember Overall Question Title * 21. Overall how would you rate your experience of receiving your vaccine? First injection Second injection Does not apply / have not received vaccination yet Does not apply / have not received vaccination yet First injection Does not apply / have not received vaccination yet Second injection Very good Very good First injection Very good Second injection Good Good First injection Good Second injection Fair Fair First injection Fair Second injection Poor Poor First injection Poor Second injection Very poor Very poor First injection Very poor Second injection Don't know / can't remember Don't know / can't remember First injection Don't know / can't remember Second injection Question Title * 22. Would you like to add any additional comments about your overall experience? Tell us a bit more about youBy 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 Question Title * 23. Please tell us which age category you fall into? 13-17 18-24 25-34 35-44 45-54 55-64 65-74 75+ I prefer not to say Question Title * 24. Please tell us which gender you identify with Women Man Non-binary Other I'd prefer not to say Question Title * 25. Please select your ethnic background Arab Asian / Asian British: Bangladeshi Asian / Asian British: Chinese Asian / Asian British: Indian Asian / Asian British: Pakistani Asian / Asian British: Any other Asian / Asian British background Black / Black British: African Black / Black British: Caribbean Black / Black British: Any other Black / Black British background Gypsy, Roma or Traveller Mixed / Multiple ethnic groups: Asian and White Mixed / Multiple ethnic groups: Black African and White Mixed / Multiple ethnic groups: Black Caribbean and White Mixed / Multiple ethnic groups: Any other Mixed / Mulitple ethnic background White: British / English / Northern Irish / Scottish / Welsh White: Irish White: Any other White background Another ethinc background I'd prefer not to say Question Title * 26. Are you currently pregnant or have you been pregnant in the last year? Yes No I'd prefer not to say Question Title * 27. Do you consider yourself to be a carer, have a disability or a long term health condition? (please select all that apply): Yes, I consider myself to be a carer Yes, I consider myself to have a disability Yes, I consider myself to have a long term condition None of the above I'd prefer not to say 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-linksTel: (0191) 5147145 Email: healthwatchsunderland@pcp.uk.netTo 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) 4897952Email: info@healthwatchsouthtyneside.co.uk Done