Background to the programme
Our Health Our Care is a partnership of NHS organisations, local councils, community groups and patients; working together across the whole health system to improve the health and wellbeing of people in central Lancashire.

Working with senior clinicians from health and social care and supported by the public, the programme is currently developing ideas of what hospital services where you live may look like in the future. 

This questionnaire has been developed to seek your views on on:
- Out of hospital and joined up care
- Urgent care in the hospital
- Planned care (treatments and operations) in the hospital

Your views and opinions will help help inform a more detailed model of care.

This page
At the start of the questionnaire are a series of equality monitoring questions. The responses from this section enable us to see how representative our respondents are in relation to the populations that currently use health services in this area. Please note that you do not have to complete any/all of the questions in this section. Your responses to the rest of the questionnaire will still be taken into account even if you do not answer this section fully.

It will take about 15 minutes to complete the survey and is completely anonymous; we will not be able to identify you in any way, so feel free to respond honestly. You are under no obligation to complete any of the questions in this questionnaire.

Thank you for your time and valuable contribution to this project.

If you require an alternative format/language, or have any questions about the survey please call 01772 214 323 or email ohoc.enquiries@nhs.net

Question Title

* 1. Please state what area of Central Lancashire you live in e.g Chorley

Question Title

* 2. What is your ethnic group? Please tick the appropriate box to indicate your ethnic group or type your ethnicity into the box below

Question Title

* 3. What is your age range?

Question Title

* 4. What is your gender?

Question Title

* 5. What is your sexual orientation?

Question Title

* 6. Gender Reassignment: Is your gender identity the same as the gender you were assigned at birth? Please tick one box only:

Question Title

* 7. What is your country of origin?

Question Title

* 8. If you would like to give details of your long term/ condition disability, please do so here...

Question Title

* 9. What is your religion/ belief?

Question Title

* 10. Are you a carer? No matter how old you are, do you carry the unwaged responsibility for providing or arranging care for someone else, young or old who, because of long term illness, disability or frailty, is unable to care for him/herself.

Question Title

* 11. Are you a military veteran?

Question Title

* 12. Pregnancy and maternity: Are you pregnant or on maternity leave?

Question Title

* 13. How did you hear about this survey?

T