Healthwatch Cornwall's young people survey - complete for a chance to win a £50 Amazon voucher 

Healthwatch Cornwall wants to speak to young people aged 16-25 to gather their views about accessing and using health and social care services in Cornwall. We are specifically focusing on three services: GP surgeries, sexual health clinics/services, and mental health/counselling services. 
The information you provide is confidential but could help to shape health care provision in Cornwall – thank you - it should only take you a few minutes.  Closing date 9am Monday 16th October

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* 1. What is your gender?

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* 2. What is your age?

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* 3. What is your ethnicity

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* 4. What is the name of your GP surgery?

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* 5. What is your home postcode?

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* 6. What is your email address? 

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* 7. Please tick here if you would like to receive our monthly e-newsletter

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* 8. Have you had an appointment with a GP practice in Cornwall recently?

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* 9. Have you had an appointment with a sexual health service in Cornwall recently (not at your GP practice)?

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* 10. Have you had an appointment with a mental health service/counselling service in Cornwall recently?

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* 11. If you ticked yes above, how would you rate the GP practice you visited recently from the following options? (or select not applicable if you answered no).

  Strongly disagree Disagree Neutral Agree Strongly agree Not applicable
I was able to see someone at a location convenient to me
I was able see the right person for me
I was able to get an appointment at a time convenient to me
The care I received met my needs

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* 12. If you ticked yes above, how would you rate the sexual health service you visited recently from the following options? (or select not applicable if you answered no).

  Strongly disagree Disagree Neutral Agree Strongly agree Not applicable
I was able see someone at a location convenient to me
I was able see the right person for me
I was able to get an appointment at a time convenient to me
The care I received met my needs

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* 13. If you ticked yes above, how would you rate the mental health service/counselling service you visited recently from the following options? (or select not applicable if you answered no).

  Strongly disagree Disagree Neutral Agree Strongly agree Not applicable
I was able see someone at a location convenient to me
I was able see the right person for me
I was able to get an appointment at a time convenient to me
The care I received met my needs

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* 14. What do you feel is the most important health or social care concern facing young people today? (issues may include: sexual health, mental health, long term health (e.g asthma, diabetes) drugs and alcohol, weight issues, stress and anxiety…)

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* 15. Please tell us any other comments you want us to know – positive or negative, or use this space to tell us about any other health or social care service you have not already mentioned you feel we should hear about:

By entering the prize draw you are agreeing to receive our monthly newsletter. You can unsubscribe from this at anytime. We do not share your contact details with anyone else. Your feedback maybe shared anonymously with commissioners and providers of services as part of our work.

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