Give us your feedback on local services here
Give us your feedback on local services here
What topics are in your story? *
For example - appointment times, cleanliness, information, staff attitude etc.
Your answer
What services is your story about? *
List the services used. For example, the name of the GP Surgery, the hospital, care home name and so on.
Your answer
What happened? *
Tell your story here. What was good? What could have been better? How did you feel about your care?
Your answer
When did it happen? *
Please tell us when this happened (ideally the month and year - e.g. "May 2018". If you cannot remember exactly , then please tell us as closely as you can - e.g. "in the last eighteen months")
Your answer
Are you? *
What is your postcode? *
Your answer
How would you rate the care received? *
Excellent
Very poor
Would you recommend this service to your family or friends? *
Your email address (optional) *
If you give us your email address, we can keep you in touch with any feedback or changes to the services you have commented about, or with any investigations into services we are conducting and that you might like to contribute to. We will not share your email address with anyone else.
Your answer
Would you like to receive our email newsletter? *
If you would like to receive email newsletters from Healthwatch Wiltshire, please choose "yes" and make sure you have entered your email address in the box above.
How did you hear about Healthwatch Wiltshire? *
Please tell us how you heard about Healthwatch Wiltshire (for example - through a friend; a leaflet in my doctor's surgery; an article in the press).
Your answer
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