Seaton Area Health Matters
Seaton Area Health Matters is running a survey for as many people as possible, from all ages and all walks of life, in Seaton and all the villages around Seaton including Axmouth, Beer, Branscombe, Colyford, Colyton, Combpyne, Musbury, Rousdon, Seaton, Uplyme and Whitford. The aim of the survey is to try to find out how you use local health services, how well supported you are and how Seaton Area Health Matters could help to plan services in the future which respond to the needs of different people locally. All answers will be confidential. The survey should not take more than 10 minutes to complete and can be completed online if you prefer at www.seatonhealthmatters.co.uk/survey. We would be most grateful if you could complete the survey and return it to your local library, village hall, GP surgery or Seaton Town Council offices and many other local venues by 17th November 2019. Thank you very much indeed for your help.
When did you last use Seaton Hospital? *
How did you get to Seaton Hospital? *
How often do you have to attend Seaton Hospital? *
Which department did you visit at Seaton Hospital (eg physiotherapy, podiatrist, eye clinic), if you're happy to say?
Your answer
When did you last use your local GP practice? *
How did you get to the GP practice? *
How often do you have to visit the GP practice? *
Which service did you use (eg GP appointment, nurse appointment, vaccination), if you're happy to say?
Your answer
When did you last use the Royal Devon & Exeter Hospital? *
How did you get to the Royal Devon & Exeter Hospital? *
How often do you have to attend the Royal Devon & Exeter Hospital? *
Which department did you visit at the Royal Devon & Exeter Hospital (eg surgery, orthopaedics, ENT, cancer services, eye clinic, A&E), if you're happy to say?
Your answer
What do you do to keep yourself healthy? *
Required
Do you take part in any activities outside your home (not including school / work / shopping), such as seeing friends or family, going to church, going for walks, going to clubs or groups like the WI or skittles? *
If yes, how often?
If no, what prevents you?
Do you suffer from any disability or mobility issues that make it difficult for you to get out of the house? *
If yes, which of the following applies: *
Required
Do you have any of the following long term conditions? *
Required
If you have answered yes above do you feel you have enough of the following for your needs?
Yes
No
Information or skills to understand the condition and reduce symptoms (where possible)
Physical support - transport, carer or support workers
Mental Support
If you said no to any of these things, what do you feel you need?
Your answer
Do you think your home is suitable for your needs? *
If not why not?
Do you think that there is enough information / guidance on alcohol and drug use locally? *
If you felt you needed alcohol or drug support, do you know where you could get it? *
Do you think there is enough information or actual support for mental health issues locally? *
If you felt you needed mental health support, do you know where you could get it? *
If you were struggling to cope, which of the following do you think you would find helpful? *
Required
Do you look after a member of your family who is unwell / frail / has mental health problems / dementia or has a disability? *
If so, do you have enough support to meet your needs? *
If you don't have the support you feel you need, what support would you like?
Your answer
Do you look after preschool or school-age children? *
If yes, do you have enough support to meet their health needs? *
If you don't have enough support, what support would you like?
Your answer
Regarding Transportation *
Yes
No
Do you own a car?
Are you able to drive?
Do you have access to a car during the day?
If no, do you have access to public transportation?
Have you been prevented from attending health appointments due to transport difficulties?
If you cannot access public transport, why not? *
Required
For good health do you think that you should be eating more or less of the following foods? *
More
Less
About right
Fruit and veg
Meat
Fish
Chocolate
Crisps
Energy drinks
Ready meals
Processed food
What prevents you from making the changes to your diet that you feel you need to do? *
Required
Do you eat / drink any of the following every day? *
Yes
No
Bar of chocolate
Packets of sweets or crisps
Energy drinks
Are you happy with your weight? *
If you are not happy with your weight, would you say you are: *
Do you take any exercise or do any regular physical activity? *
If yes, how often do you take exercise? *
If no, what prevents you from taking exercise? *
Required
Do you attend any of the following group activities? *
Required
Do you know what activities are available in your community? *
Where would you go to find out about activities? *
Required
Do you use the internet regularly? *
If no. why not?
If there was a health and well-being hub based at Seaton Hospital which could have outpatient services, physiotherapy, occupational therapy, community nurses, a cafe', an information hub, and health and well-being groups (or some of these things), does this sound a good idea? *
If yes, could we contact you?
Please provide an e-mail address or phone number if you are happy to be contacted so that we can get your views about what you think the hub could include
Your answer
Are you *
Please could you tell us your age: *
Please could you tell us about the property that you live in? Is it: *
Where do you live? *
Do you live alone? *
Are there children in the household under 18? *
If you don't mind, please provide us with your post code
Your answer
Thank you very much for your help. Please now submit this form. If you would like to input further comments/views please email directly to seaton.area.health.matters@gmail.com.
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