Health Survey - Holyrood Ward
WHAT ARE YOUR PRIORITIES FOR THE NHS LOCALLY?
Our NHS is facing significant challenges with more pressure on resources and an ageing population with more complex care needs.
We are hugely proud of our local NHS services, but we need to make sure we're getting the best health care that's right for our area.
We're asking local residents to tell us your experiences of the NHS and your priorities for the future so we can best represent you as your local councillors.
Thank you for your time. As always please do not hesitate to get in touch with any of us at any time if there are issues we can help with or discuss your ideas for our local area.
GPs
How long do you typically have to wait for a GP appointment?
Same day
1-2 days
3-7 days
Over a week
Clear selection
Have you been happy with the appointment? eg. which GP, the time, etc.
Yes
No
Clear selection
Dentists
If you have a dentist is it:
Public
Private
Clear selection
Are you looking for an NHS dentist but unable to get on their list?
Yes
No
Clear selection
Hospitals
If you or a family member have visited A&E in the last two years - how long did you have to wait?
Under 1 hour
1-2 hours
2-4 hours
4+ hours
Clear selection
Community Health
The local NHS is putting restrictions on some services. Have you experienced any difficulties in being referred to local community health services?
Your answer
Improving Health
What are the three things that you feel should be done to improve health services for our local area?
Number one:
Your answer
Number two:
Your answer
Number three:
Your answer
In our area
Please feel free to give additional details in the 'issues and concerns' box below
Are any of the following problems in your area?
Potholes in roads
Bad pavements
Faulty streetlights
Missing street signs
Dog fouling
Which of the following issues do you care about most? (Please pick 3 issues)
Economy
Housing
Cost of living
Crime & Anti-social behaviour
Unemployment
The NHS
Social Care
The EU
The Environment
If there was an election tomorrow, which way would you vote? (Please tick more than one if you're unsure)
Local Election
General Election
Liberal Democrats
Conservative
Labour
Green
UKIP
Other
Local Election
General Election
Liberal Democrats
Conservative
Labour
Green
UKIP
Other
Clear selection
Can you help the Lib Dem FOCUS team?
I can give 1 hour a month to deliver FOCUS leaflets
I would like to join the Local Lib Dems (It costs as little as £1 per month)
I can make a donation to help continue your work (Please make cheques payable to Bury Liberal Democrats)
Have any issues or concerns? (Let us know if we can help using the space below)
Your answer
About You
Please make sure you have given us your contact details so we can get back to you
Name
Your answer
Email Address
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Year of Birth
Your answer
What was your age when you finished full time education?
Your answer
Is your property
Council owned
Housing association
Private rented
Mortaged
Owned
Clear selection
What one thing would make our area better?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Association of Liberal Democrat Councillors.
Report Abuse
Forms