Please give us your views on health and care services - and how they could be better

Healthwatch Swindon is the independent champion for people who use health and social care services in Swindon. We are here to make sure that those who plan and run services listen to what people say about them. Tell us about your experience of the NHS and social care services so we can pass the information on to those who can make changes and improvements.

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* 1. Where was your experience?

This can be any service you or your family received from a hospital, GP surgery, dentist, pharmacy, home care, community nursing, mental health service, physiotherapy - or any other.

Please give us the name.

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* 2. When did it happen?

Date

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* 3. Overall how would you rate your experience?

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* 4. Please tell us about your experience.  Give us your feedback (good or bad)

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* 5. What would have made the experience better? 
What suggestions have you got for the future?

Please complete the sections about you.  This helps us to make sure we are reaching people in all areas of Swindon.

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* 6. What is the first part of your postcode? (for example SN1)

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* 7. Which year were you born?

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* 8. Please describe your race/ethnicity.

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* 9. What is your gender?

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* 10. If you would like to discuss your experience or concerns in more detail with us, then please tell us your full name, address, phone number and email address so we can get back in touch.

Thanks for completing our questionnaire.
The information you have given us will be stored on Surveymonkey and used by Healthwatch Swindon.  We anonymise the information and use this as part of our work, highlighting the issues, experiences and views of local people to those who design and manage our local health and care services. 
 
To find out more about Healthwatch Swindon visit our website: www.healthwatchswindon.org.uk

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