This survey is about your experience of the health care you receive in Somerset. What you tell us is confidential.

The information will be used to influence future access and experience of health care services including Mental Health, Sexual Health, Domestic Violence and access to Vaccination & Health Services including Covid vaccinations.

What to do
Please tick the boxes and write any other information you would like to share in the big boxes.

If you cannot answer a question, or do not want to answer it, just leave it blank and go to the next question. Your answers will help us to ask for more inclusive services.  

Thank you for taking part.
About You

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* 1. Are you:

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* 2. How old are you?

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* 3. What is your nationality?

4. What is your ethnic group? (tick one box only)

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* Asian or Asian British

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* Black, Black British, Caribbean or African

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* Mixed or multiple ethnic groups

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* Other ethnic group

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* White

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* 5. What is your religion?

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* 6. Are you confident to speak and read English?

Mental Health Services

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* 7. Have you or your family/friends been affected by mental health difficulties while you have been living in Somerset?  

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* 8. Did you ask for help with mental health from any of these services?

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* 9. Do you know that you can get free help with mental health difficulties?  

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* 10. If you have used mental health services how do you feel about the support you received?

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* 11. What, if anything, would have made the service better? 

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* 12. What, if anything, do you think stops people using mental health services?

Sexual Health Services

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* 13. Have you used any sexual health services in Somerset?

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* 14. Which sexual health services do you know in Somerset?

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* 15. Did you know that you can obtain free contraception from Somerset Wide Integrated Sexual Health Service (SWISH)?

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* 16. SWISH also offers free and confidential testing and treatment for sexual transmitted infections. Would you know how to access this service if you needed it?

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* 17. What, if anything, do you think stops people visiting sexual health services?

Domestic Abuse
There are different kinds of abuse, but it's always about having power and control over you. Most of the time the person carrying out the abuse is a partner or ex-partner, but it can also be a family member or carer. 

Abusive behaviour includes:
  • Physical or sexual abuse
  • Violent or threatening behaviour
  • Controlling or coercive behaviour
  • Financial abuse
  • Psychological, emotional or other abuse such as online or digital abuse
Abusive behaviour of person under 16 is child abuse rather than domestic abuse.

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* 18. Have you or family/friends experienced domestic abuse while living in in Somerset?

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* 19. Are you aware of Domestic Abuse support services that are available?

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* 20. Have you visited the Somerset Survivors website (somersetsurvivors.org.uk)?

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* 21. If you visited the Somerset Survivors website how was the advice and support you received?

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* 22. Are you aware of free legal advice that may be available for survivors of Domestic Abuse?  

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* 23. Have you heard about ‘Safe Spaces’ (uksaysnomore.org/safespaces) if you need help while you are out and about?

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* 24. Why do you think someone experiencing Domestic Abuse might not seek help?

Access to Health Services Including Vaccinations

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* 25. Are you registered with a GP Surgery?

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* 26. Are you aware of what NHS services you are able to access without payment?

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* 27. Have you and your family had vaccinations including free Covid and childhood vaccinations?

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* 28. If you answered ‘No’, would you like independent information to help you decide what is best for you and your family?

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* 29. How comfortable do you feel when you use health services?

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* 30. How often do you feel you are listened to when you use health services?

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* 31. Do you understand the treatments offered?

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* 32. What, if anything, might help you feel happier with health services you have used?

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* 33. Are there health services you have not been able to access in Somerset?

Personal Stories and Experience of Services
We are looking for personal stories and experiences to include in our report to NHS Somerset Commissioning, and for podcasts. If you would like to take part in further research by talking more about your experiences with any of the health services, please write in your details below.

I will contact you to explain more, or if you prefer, you can contact me by email lizj@somersetrcc.org.uk or telephone 07495 177012.

All information will be treated in the strictest confidence and anonymised to ensure you are not identified without your full and informed consent. See our Privacy Statement below.

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* 34. Contact details

Name

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* How do you prefer to be contacted?

Thank you very much for your help.
Privacy Statement: Smart Communities Ltd uses personal/sensitive data to provide information for the purposes of this survey. Data is captured for legitimate and contractual purposes. No data will be published which can identify an individual without their consent. Analysis will be conducted by Smart Communities Ltd part of Community Council for Somerset (CCS). Information is collected and analysed in accordance with Smart Communities Ltd role as Data Controller and Data Processor. Hard copies of consultation surveys are kept for the duration of the consultation period and destroyed after the final report is signed off by the commissioner of the survey. Digital copies are retained for 12 months and deleted after this period. Any personal data that is captured is anonymised with the report and held securely for the purposes of analysis. If you would like to find out more about how we use your data or want to see a copy of information about you that we hold, please contact info@somersetrcc.org.uk or call 01823 331222. Protecting your Personal Data is important and we fully comply and adhere to the Principles of Data Protection set out in our Data Protection / Privacy Policy visit: smartcommunities.online/smart-policies

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