Covid-19 and Health Survey

0%
We are carrying out a survey to understand more about how Covid19 and the past 12 months has impacted on people living in Hertfordshire, to help inform the ongoing development of support.  This survey will cover social support enabling people to come together with their peers to enjoy shared interests in creative arts, leisure or sport to reduce isolation, build confidence and support mental wellbeing.

Please take a few minutes to complete as much of this questionnaire as you would like. All information provided will be kept in the strictest confidence and will only be used in accordance with the requirements of GDPR and our privacy statement (a copy of which is available on request).

A report will be shared with Adult Care Services in order to inform the funding of services in the coming year.
If you would like help completing this survey please email admin@mindinmidherts.org.uk or telephone 03303 208100 between 10am and 4pm Monday to Friday.

The Closing date for this survey is Tuesday 1 June 2021

Section One: About you
 
 

1. What is your age? *

 

2. What is your ethnicity? *

 

3. What is your gender? *

 

4. Sexual identify / sexual orientation *

 

5. Have you ever attended any of Herts wellbeing centres? (tick all that apply)

 

6. Have you ever attended one of Mind’s Social Support Groups in the past?

 

7. Have you accessed mental health support during the pandemic?

 

8. If yes what impact has this had on your mental health’?

 

9. Do you have a diagnosed mental health problem?

 

10. Do you have a diagnosed physical health condition?