In the past few weeks, the Coronavirus pandemic has changed all our lives considerably, transformed our views of what is important, and posed a considerable challenge to our health and care services.

As part of our ongoing work to respond to the pandemic, we are now asking you to share your experiences of the pandemic and the impact the changes to services we have had to adopt as a result of Coronavirus.

As Coronavirus is going to be with us for the foreseeable future, we need to change the way we provide services and in order to ensure that these changes are sustainable and work, the feedback you share with us will help to ensure everyone from across our region has a voice and a chance to help, supporting us to make these decisions and design new ways of working in response to the pandemic.

This survey will take no more than 10 minutes to complete.
 

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* 1. Your gender

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* 5. Have you or anyone in your household had symptoms of Coronavirus or a confirmed diagnosis of Coronavirus?

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* 6. Next we would like to understand about your behaviour and actions related to the Coronavirus. Please review the following statements and answer on the scale below:

  1. Not at all 2. 3. 4. 5. 6. 7. Very much so
a) I know how to protect myself from Coronavirus.
b) I follow the recommendations from the government and NHS to prevent the spread of Coronavirus.

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* 7. What are your TOP THREE concerns about the impact of Coronavirus on you and your family at the moment? Please select a maximum of three options.

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* 8. Do you have an existing medical condition, including pregnancy, that requires treatment or care (not related to Coronavirus)?

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* 9. Have you (or someone you look after / are responsible for) used, or tried to use, health and care services in the past month? e.g. appointment with a GP, healthcare professional, pharmacist or counsellor etc.

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