We greatly appreciate your time in completing our survey on the use of Health and Social Care Services in Harrow. It should take you no longer than 10-15 minutes to complete.

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* 1. What age group are you in?

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* 2. Are you currently in:

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* 3. Please tell us the name of your school or college (if applicable):

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* 4. What does being healthy mean to you?

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* 5. What health & social care services do you use most often in Harrow?

  I access this for myself I access this for a member of my family
GP/ Doctors
Walk-in Centre
Dentist
Pharmacy
111 Telephone Service
Ambulance or 999 Service
School Nurse
Hospital (e.g Northwick Park, Royal National Orthopaedic Hospital)
Clinic
X-Ray
Audiology
Physiotherapy
Speech and Language Therapy
Orthodontists
Opticians
Dietician
Accident and Emergency
Mental Health Support e.g CAMHS
Speech and Language Therapy
Sexual Health Service
NHS App
Other

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* 6. If you chose other please specify:

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* 7. What works well for you when using these services?

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* 8. Thinking about the services you use most regularly, how often do you use these health & social care services?

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* 9. Please give a rating on your experience of using the services below

  5 (Excellent) 4 (Very good) 3 (Good) 2 (Satisfactory) 1 (Poor, could be improved) Does not apply to me
GP/ Doctors
Walk-in Centre
Dentist
Pharmacy
111 Telephone Service
Ambulance or 999 Service
School Nurse
Hospital (e.g Northwick Park, Royal National Orthopaedic Hospital)
Clinic
X-Ray
Audiology
Physiotherapy
Speech and Language Therapy
Orthodontists
Opticians
Dietician
Accident and Emergency
Mental Health Support e.g CAMHS
Speech and Language Therapy
Sexual Health Service
NHS App

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* 10. Would you say you make full use of the health & social care services which are out there for you?

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* 11. If no, what do you feel is stopping you from making full use of these services?

  Very true Fairly true Neither true nor or untrue Fairly untrue Not true
I don’t know what services are out there
I don’t always agree with my doctor / nurse / medical staff
I don’t trust the medical staff not to share my personal problems
I have a lack of confidence in the medical staff
The waiting times for appointments are too long
I don’t feel I will receive good quality service
Other

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* 12. If you chose other please specify:

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* 13. Would you say you have any concerns or complaints about your local health & social care services (e.g issues with your local GP practice or A&E if you’ve visited recently)?

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* 14. If yes, what sort of concerns do you have?

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* 15. If you did experience any problems with the local health & social care services you use, would you voice your concerns?

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* 16. If you chose no, please tell us why:

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* 17. Who would you go to for this?

Healthwatch Harrow’s role is to find what matters to the residents including the young people of Harrow and to help make sure their views shape the support that they need regarding health & social care services.

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* 18. If Healthwatch Harrow had a social media platform for young people (e.g Facebook), would you use this to raise any problems or issues you experience with your local health & social care services?

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* 19. If you chose no, please tell us why:

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* 20. What social media would you prefer to use to raise the problems you experience with your health and social care services with us at Healthwatch Harrow?

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* 21. Is there anything else you would like to tell us?

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