Dorset Women's Health - Have Your Say
This questionnaire is designed to give you the opportunity to tell us what you think of Women's Health services in Dorset. The Dorset Women's Health Symposium is the beginning of a conversation about women's health in Dorset in relation to the implementation of the Women's Health Strategy for England which you can read here.

We intend to take the information you give us to work with the commissioners and providers of women's health services in ensuring women in Dorset receive the best possible healthcare. Your experiences and views are important.

In this first section we need to collect some information about YOU in order that we ensure we speak to a diverse a range of women as possible. We will ONLY use this information for analysis and will not use it for any other reason. In completing the questionnaire you are giving us permission to use your information in this way. If you would like to be involved in our work, and to share your contact details with us please complete the FEEDBACK QUESTIONNAIRE.
Sign in to Google to save your progress. Learn more
Please tell us your age
Clear selection
Please tell us your sex or gender identity
Please tell us your ethnicity
Please tell us where you live
Clear selection
Please tell us about your health (tick all that apply)
Please tell us about your studying or working circumstances (tick all that apply)
Next
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