Have your say

Find out more about the things we're working on where we need your views, or alternatively, let us know about your recent experience of health and social care services.

No matter how big or small the issue, we want to hear about it.

Tell us about your own experiences of health or social care services

Any information you give us on this form will be used in accordance with data protection regulations. If you give us your name or other contact details, we will not disclose those to any third party without your express permission. We may use your experiences to highlight to decision makers in health and social care how services could be improved, but you would not be identifiable as an individual.

Take five minutes to share your experiences

NHS and social care staff are doing everything they can to keep us well during these challenging times, but there might be things that can be improved for you and your loved ones. Please take five minutes to share your story with us.

To understand how we will use your information read the 'How we use this information' at the end of the page.

Complete the survey

If other, please tell us which issue/service you are referring to

Please provide the name of the service you are telling us about eg Lincoln County Hospital

2. Please tell us about you experience

What went well? What could have been better?

3. Does your feedback apply to a specific service? If so, please tell us which ones(s).

eg. the GP surgery name or hospital department

Your name

Your telephone number

Your email address

Where do you live? Please select

Post code - (for mapping and Inequality purposes)

4. How easy was it to access the help and support you needed?

Very good

Good

Neither good nor bad

Poor

Very poor

N/A

5. How would you describe your experience of care?

Good

Neither good nor bad

Poor

I had a mixed experience

Don't know/not sure

Not applicable

6. In relation to this experience please select what best describes you

I’m the person who received the care

I’m providing this feedback on behalf of a friend or relative, or because I’m their carer

Other

Tell us a bit about you

It would really help to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary.

7. Please tell us your age

8. Please tell us your gender

9. Is your gender identity the same as your sex recorded at birth?

10. Please tell us which sexual orientation you identify with

11. Please select your ethnicity

12. Please select any of the following that apply to you

I have a disability

I have a long term condition

I am a carer

None of the above

I prefer not to say

13. Which of the following best describes your financial status?

I have more than enough for basic necessities, and a large amount of disposable income, that I can save or spend on extras or leisure

I have more than enough for basic necessities, and a small amount of disposable income, that I can save or spend on extras or leisure

I have just enough for basic necessities and little else

I don’t have enough for basic necessities and sometimes run out of money

I don't know/prefer not to say

How we use this information

The information you share with us helps us spot trends to identify areas for improvement. We may use quotes in our reports, but we will not use any information that will identify you.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to help us understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion.

If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous.

Find out more about how we handle your information in our privacy statement.

Can we stay in touch?

We'd love to tell your story and keep you updated about our work and the difference sharing your experiences with us can make.

Please select

I want Healthwatch Lincolnshire to email me about advice and information, latest news, research and updates.

I do not want Healthwatch Lincolnshire to email me about advice and information, latest news, research and updates.

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Our Impact

Find out how more about the ways were helping to improve peoples expeorence of health and social care services in our reports.

Find out more