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Healthwatch is your local independent voice of the public for health and social care services. We collect feedback from the public about their experiences of using health and social care services and use that feedback to work with service providers and commissioners to find ways to improve services.

This survey is open to Walsall residents only. If you have accessed or tried to access any Walsall Health or Social Care services in the last 12 months, please share your experiences and take part in a short survey. Your personal details once the draw has taken place will be destroyed/deleted. Your shared experiences will be collated and may be used to form other pieces of Healthwatch Walsall work or used as examples (anonymously/non identifiable) in shared published reports.

You have the right to withdraw your answers and details at any time. Simply contact us by telephone: 0800 470 1660 or by email: info@healthwatchwalsall.co.uk
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Q 1 Do you have access to internet
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Q. 2 How do you access your health care? *
Required
Other Please state
Q.3 Please list the top 3 services you try to access the most? Please order 1-3 in line with the services you try to access the most? 4 being least or no access *
1
2
3
4
GP
Pharmacy
Dentist
Hospital
Optician
Other
Other please state
Q 4 Do you have any difficulties accessing particular services? (if answered no got question 7) *
Q 5 From the list, please indicate the top 3 services you have the most problems accessing ( from 1-4) 1 the most difficult, 2 fairly difficult, 3 some difficulty and 4 no difficulty.
1
2
3
4
GP
Pharmacy
Dentist
Hospital
Optician
Other
Clear selection
Other please state
Q 6 What issue(s) do you have? ( you can tick more than one, tick those that apply)
If other please state issue(s)
Q 7 How would you like to access healthcare services? *
Q 8 If you are unable to access an appointment, what medical service(s) do you contact or go to? *
Required
If other please state what service
Q 9 Do you have a long-term condition to manage? *
Q 10 If yes what condition(s) is it?
If other please state what condition(s)
Q 11 How does this affect you? (Multiple choice, tick which ones apply) *
Required
If other please state
About you - Demographics
To let us know that we have reached out to as many people of Walsall as we can.
To let us know that we have reached out to as many people of Walsall as we can.
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Q 12 Please give ONLY the first 4 characters of your postcode. for example WS3 1.. *
Q 13 Your age ( you must be 18years of age and over to enter this draw) *
Q 14 Do you consider yourself to have a disability *
Q 15 Please share your ethnic origin *
Your name (please print it in capitals) *
A contact number to reach you on *
Your email address to reach you on
Would you like to be informed of health and social care matters in Walsall by receiving our quarterly newsletter or invites to our First Friday Focus chats with themed presentations about health and social care services in Walsall. *
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