About You

Please tell us a little bit about yourself so that we can get you the right survey

Do you need an easy read survey?

Which type of service did you use?

Which Unit or Clinic helped you?

Who did you see / Where did you get your care/ Which team did you speak about?

Are you happy for us to publish any comments you make in surveys?

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What is the age of the person receiving care? (optional)

What is your ethnic group? (Optional)

Would you say you have a disability? (physical health, mental health, LD or long term condition) (Optional)

Do you have Special Educational Needs and or/Disability? (Optional)




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