Healthy Blaenavon #DoItYourWay

Supporting you to take care of your health and wellbeing in your own way

We want to hear your views. Ideally we’d be out and about having conversations with people but that’s a little difficult at the moment so we’ve put together some simple questions. We’re hoping you find these easy to answer, but if not there’s space for your own comments about anything you want to tell us.

We will be using this information to think about how we can make it easier for people in Blaenavon to be healthy and well.

We know that you may have been asked some of these questions before and we are also using that information to guide us. However, we understand that the last few months has been tough for everyone and your views and priorities may have changed, we want to be sure that we’ve understood those changes.

For previous reports on Blaenavon see

If you provide us with your contact details Aneurin Bevan University Health Board (ABUHB) and Blaenavon Town Council will store this safely in compliance with GDPR and will not share it with anyone without your explicit consent. We will not identify you in any of the reports that we publish with details of the survey results. We will use your details to contact you to follow up on the conversation about health and wellbeing.
What is your gender?
Clear selection
How old are you?
Clear selection
Is there anything about your health and wellbeing you would like to improve?
What stops you from making changes?
What could local services (health, education, local authority) do differently to support you to make changes?
What is good about living in Blaenavon?
What would you like to change about Blaenavon?
What would make it easier for children and young people in Blaenavon to live a healthier lifestyle?
What are the challenges for older people in Blaenavon?
Anything else you would like to tell us?
If you’d like to take part in a wider conversation on these issues either on the phone, face-to-face (maintaining social distance) or online, please let us know and provide your contact details below
Name (optional)
Telephone Number (optional)
E-mail Address (optional)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy