JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stories Labels & Misconceptions
Podcast Audience Survey
This survey is designed to gather information about our listeners, so we can improve on our content and build a stronger connection with you.
Your participation is greatly appreciated.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Section 1: About You
To understand the makeup of our audience
What is your age?
*
Under 18
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say
What is your gender?
*
Male
Female
Non-binary
Prefer not to say
Other:
Do you consider yourself to have a disability?
Yes
No
Clear selection
Are you living with a long-term health condition?
Yes
No
Clear selection
What is your long-term condition?
Your answer
Where are you based?
City/Town, Region, or Postcode
Your answer
What is your ethnic background?
*
Your answer
Section 2: What do you do?
What is your occupation, and which sector do you work in? (if applicable)? Eg: Housing, Education, etc…
*
Your answer
What is your connection to the NHS, Social Care or Public Services?
*
I work in the NHS, what is your current role?
I work in social care, what is your current role?
I work in the Public sector, what is your current role?
I'm a service user/patient
I'm a carer
I'm a student
I'm an advocate/campaigner
I'm just interested in the topic
Other:
How long have you been involved with the NHS or Social Care?
*
Less than 1 year
1–5 years
6–10 years
Over 10 years
Not applicable
Section 3: Issues That Matter to You
What are the biggest challenges you face (or see) in the NHS, Social Care or any other Public Services today?
*
Your answer
What labels or misconceptions do you think exist about these areas?
*
Your answer
What kinds of stories or topics do you want to hear more about on the podcast?
*
Lived experiences from patients
Voices of staff/behind-the-scenes
Policy and reform discussion
Mental health in care settings
Disability and access
Labels or Misconceptions in the media
Other:
Do you feel your voice or perspective is represented in mainstream discussions about the NHS, Social Care or Public services?
*
Yes
No
Sometimes
Not sure
Section 4: Listening Habits & Feedback
How did you find out about Stories, Labels and Misconceptions?
*
Your answer
How often do you listen to the podcast?
*
Every episode
Occasionally
I’ve only just started
Haven’t yet, but planning to
What platforms do you use to listen? (Select all that apply)
*
Spotify
Apple Podcasts
Google Podcasts
YouTube
Website
Other:
Required
What would you like to see more of in the podcast?
*
Your answer
Any other feedback or stories you'd like to share?
*
Your answer
Share Your Story
Would you be open to sharing your story with us?
*
Yes – via email
Yes – I’d be open to being a guest on the podcast
Maybe – tell me more
No, not right now
If yes or maybe — briefly tell us a bit about your story or what you'd like to talk about.
Your answer
Stay Connected
Email address
:
Only if you’re happy for us to contact you about your story or future podcast opportunities
Your answer
Any final thoughts, feedback or questions for us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report