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* 1. Healthwatch Surrey is an independent watchdog for health and social care. We may share your feedback with those responsible for health and social services in Surrey. We are gathering feedback regarding health and social care from members of the LGBTQ+ community living in Surrey. All your responses will be confidential. Please tick the boxes below to indicate to show your consent to us sharing/ storing your responses. All responses will be anonymous. As a thank you for your time, we would like to offer you the chance to win £50 Amazon voucher in a prize draw. 
Please tick below to show that you give consent for Healthwatch Surrey to..... (tick all that apply).

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* 2. Thank you for taking part in this survey. The first question is about your general experiences of health and social care in Surrey. The following questions are about specific services for example, mental health, substance misuse, sexual health and carers support. You only need to answer about the services that you use. 
First of all, how do you identify yourself?

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* 3. Have you had any recent experiences with health and social care in Surrey? (within the last 2 years).

Please write about them below.  For example, any hospital or GP surgery visits? 
 PLEASE WRITE IN NAME OF HOSPITAL OR GP SURGERY

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* 4. I’m now going to ask you about how you feel you are treated as a member of the LGBTQ+ community by the health service.

Are you satisfied are you with the way that healthcare professionals address you?

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* 5. Why do you say that?

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* 6. Are you satisfied with how healthcare professionals explore your sexual or gender history?

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* 7. Why do you say that? 

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* 8. Are you satisfied with the way that healthcare professionals include partners or significant others in conversations?

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* 9. Why do you say that?

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