Take five minutes to share your experiences NHS and social care staff are doing everything they can during these challenging times, but there might be things that can be improved. Your feedback can help services spot issues that are affecting care for you and your loved ones. Complete the survey What type of service(s) would you like to talk to us about? * Care home services GP services Home care services Mental health services NHS dental services Pharmacy services Other Select the service(s) that you would like to share your views on from the list above. If other, please tell us which service you are referring to Please tell us about your experience (For example: What went well? What could have been better?) Enter your feedback here. If you'd rather be anonymous, avoid including things that can identify you. How easy was it to access the help and support you needed? Very easy Easy Neither easy nor difficult Difficult Very difficult N/A If you received care, how would you describe it? Very good Good Neither good nor bad Poor Very poor N/A How did you feel about the further treatment, care or support that you were offered? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied N/A Does your feedback apply to a specific service? Yes No If yes, please tell us the name of this service. Tell us a bit more about you By telling us more information about yourself, you will help us better understand how people's experiences may differ depending on their personal characteristics. However, if you do not wish to answer these questions you do not have to. Please tell us which gender you identify with - None -ManWomanNon-binaryPrefer to self-describePrefer not to say Please describe Is your gender different to the sex that you were assigned at birth? Yes No Prefer not to say Not known Please tell us which sexual orientation you identify with - None -AsexualBisexualGay manHeterosexual / StraightLesbian / Gay womanPansexualPrefer to self-describePrefer not to sayNot known Please describe your sexual orientation Please tell us which age category you fall into - None -0 to 12 years13 to 15 years16 to 17 years18 to 24 years25 to 49 years50 to 64 years65 to 79 years80+ yearsPrefer not to sayNot knownPlease note that we cannot accept responses from anyone aged under 13 years Please select your ethnicity from the list below - None -ArabAsian / Asian British: BangladeshiAsian / Asian British: ChineseAsian / Asian British: IndianAsian / Asian British: PakistaniAsian / Asian British: Any other Asian / Asian British background (please specify)Black / Black British: African (please specify)Black / Black British: CaribbeanBlack / Black British: Any other Black / Black British background (please specify)Mixed / Multiple ethnic groups: Asian and WhiteMixed / Multiple ethnic groups: Black African and WhiteMixed / Multiple ethnic groups: Black Caribbean and WhiteMixed / Multiple ethnic groups: Any other Mixed / Multiple ethnic groups background (please specify)White: British / English / Northern Irish / Scottish / WelshWhite: IrishWhite: Gypsy, Traveller or Irish TravellerWhite: RomaWhite: Any other White background (please specify)Any other ethnic group (please specify)Prefer not to sayNot known Please specify Do you consider yourself to be a carer? Yes No Prefer not to say Do you consider yourself to have a disability? Yes No Prefer not to say Do you consider yourself to have a long term health condition? Yes No Prefer not to say Consent * I agree to my personal data being used and stored by Healthwatch. Tick this box if you're happy to give consent. Please see our Privacy Terms & Conditions for more information. Name If you would like us to be able to contact you about your experience please leave a contact name Email address If you would like us to be able to contact you please leave your email address Submit