Complaining about NHS Services

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* 1. First off, we'd like to ask some questions about who you are. This is so that we contact as many different people, with different perspectives and experiences as possible.

Name: *

Organisation or individual?

Postcode; eg HD7

Email Address:

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* 2. Which of the following best describes you?

I am a member of the public

I work for the NHS

I'm from a voluntary sector or community organisation

I work for Kirklees Council

I am politician, councillor or community representative

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* 3. Have you ever complained about an NHS or Care Service before?

Yes

No

I wanted to but I did not

I've had great service everywhere

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* 4. Will you tell us a bit more about it? Were you complaining- or did you want to say "well done and thanks." Or did you feel that you'd better not complain for some reason?

We're interested in why people complain, and how we can support people to get the best service that they possibly can. Tell us your story.

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* 5. That's it! Thanks for your feedback. If you'd like to be kept informed of more of these surveys, or want to feed into more specific issues or want to receive our newsletters, please tick the box below and we'll add you to our list.

Thanks

The Healthwatch Team

Yes please keep me informed