We want to hear about your health and experience of the NHS.

This survey will take around five minutes to complete. Everyone who takes part will be entered in to a draw for a £50 voucher of their choice.

The aim of the survey is to gather information on the health of Liveaboard Boaters. The information we gather will be used to advise those who plan and commission services for the NHS on how they can better meet the needs of Liveaboard Boaters. All of the information we collect will be anonymised before it is shared. If you would like to ask any questions about this survey, please contact Sam Worrall on sam@gypsy-traveller.org or on 01273 234 777.

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* 1. What is your gender?

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* 2. Your age

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* 3. What type of boat do you live on?

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* 4. Do you.....?

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* 5. Are you currently registered with a doctor's surgery?

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* 6. Are you currently registered with a dentist's surgery?

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* 7. How far away are you from your doctor's surgery currently?

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* 8. Have you ever tried, but been unable to register with a doctor or dentist?

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* 9. Overall, how would you describe your experience of trying to get an appointment?

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* 10. Why?

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* 11. If you have been pregnant in the last five years, did you receive the following support and screenings during your pregnancy? Tick all that apply.

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* 12. If you are a woman between the ages of 25-64 when was the last time you received an invitation for a cervical screen test, if at all?

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* 13. If you are a woman between the ages of 50-70 when was the last time you received an invitation to a routine breast screening, if at all?

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* 14. If you are a woman or man aged between 60 and 74, when was the last time you received an invitation for a bowel cancer screening, if at all?

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* 15. Do you take 5 or more medications on a regular basis? Please include prescribed medications as well as those bought over the counter.

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* 16. Do you have any long-term physical or mental conditions, disabilities or illnesses? By long-term we mean anything lasting or expected to last for 12 months or more. Please include issues related to older age.

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* 17. Which, if any, of the following long-term conditions do you have? Please select all that apply to you.

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* 18. In the last 12 months have you had any unexpected stays in hospital or any stays in hospital because of your condition?

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* 19. Completed surveys will be entered into a prize raffle with a £50 voucher for a shop of your choice as the incentive. Please add your contact details here if you wish to be added into the draw. Thank you for your time.

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