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

Please tell us the area of care you'd like to tell us about (over the last year)
Please select the options that you'd like to talk to us about. You can pick more than one.
How would you describe your experience of care?
In relation to this experience please select what best describes you
Please select the Herts district where you live for most of the time. If you do not live in Hertfordshire, please select that option.
This could be so you can tell us more about your experiences, or ask for information about services that could help.
Please enter your name.
If you'd like us to contact you by email, please enter your email address here.
If you'd like us to contact you by phone, please enter your phone number here.
Because of the work we do, it’s important for us to know a little bit more about the people we're reaching. You don’t have to answer ANY of the following questions, but anything you can tell us about yourself is really helpful when reporting to our commissioners on our work. Any feedback you give will be anonymised and the same applies to your demographic details.

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.

Please enter your gender; e.g. man, woman, non-binary, intersex, or self-describe.
What is your religion or belief?
How would you describe your sexual orientation?
How would you describe your nationality & ethnicity?
Please select any of the following that apply to you
A carer is anyone who cares, unpaid, for a friend or family member who due to illness, disability, a mental health problem or an addiction cannot cope without their support.
Please select
If yes, enter your name and email address.
Please type any additional needs you may have in order to access our quarterly newsletter.

Consent

We make every effort to safeguard your information, and you can be assured that any information you do give will not be shared with any other organisations without your permission. We record the details of all enquiries securely and use this information to capture trends and help improve people’s experiences of health and care in Hertfordshire. The records of all enquiries are stored and destroyed in line with our data retention policy. We will only break your confidentiality if we believe that you, or another person, is at risk of harm. Please read our Privacy Policy for more information.
Woman in wheelchair smiling to camera

How does sharing your views make a difference?

Read how we're using what you tell us to help make a positive change to local health and care services in our news and reports.

Find out more