Happy, Healthy & Involved Project Survey
Whitestone Patient Participation Group, the charity Guideposts, Whitestone Surgery and Warwickshire County Council are working together to undertake a survey about health and wellbeing. This will help understand any concerns around health and wellbeing and improve access to services in this area.

Personal information provided will be will be held securely by Volunteer Friends, and Whitestone PPG and but only used for these purposes. It will be kept confidential, you will not, in any way, be identifiable in the survey analysis from your responses. Where you agree to provide your personal details these will only be used for the purposes you select.
1. What services / groups / activities would improve the local area?
2. What would you like to see happening in the Whitestone area over the coming year?
3. What could you do to help support this?
4. What 3 things around your health and wellbeing you are concerned about?
5. What one thing would you like to do to improve your health?
6. Do you look after, or give any help or support to family members, friends, neighbours or others because of a long-term physical or mental ill-health/disability? Problems related to old age?
Clear selection
For more information about local services that you may be interested in, or to volunteer to be part of a future focus group around health and wellbeing topics in your area please select below and enter your contact details.
About the information you provide:

Following the conclusion of the survey or consultation we shall publish the results and this may include quotes of comments which will be anonymous. If you reply to an anonymous survey then no personal details will be captured.

If you volunteer to give us your personal details for more information about local services or to volunteer for a focus group, then these details will be kept securely but only used for these purposes.

Information you provide in any additional correspondence to our surveys and consultations, including personal information, may be disclosed in accordance with the Freedom of Information Act 2000 and the Data Protection Act 1998. If you want the information that you provide to be treated as confidential, including your contact details, please tell us why, but be aware that, under the Freedom of Information Act, we cannot always guarantee confidentiality.

For further information see www.whitestonesurgery.org/privacypolicy or contact reception on 02476 641911.
Please select all that apply.
Name (optional)
Thank you for taking the time to complete this survey! If you know of someone who would benefit from taking part, please forward this link to them:
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