Introduction

We are Healthwatch. We work to make sure health and care services are the best they can be for the people who use them. 

We want to know if you think there are things that health and care services can do to improve. 

Please answer these questions to tell us. 



How we use your information

We will use the information you give us to spot things that could be better. 

We might use the things you say in reports, but we will not use your name. 

If you are giving us information for someone else, make sure you have asked them first. 

You can find out more about how we use your information on this website: www.healthwatch.co.uk/privacy

1. What will help you to stay healthy and happy as you grow older?
Four individuals smiling together, one using a walker.

 

2. Do you have family who can help look after you if you need it?

Older couple inside an outline of a house, with the man sitting and the woman standing beside him.

 

3. Are you making any plans for when you get older?

 

4. What things worry you about getting old? 

A man stands with crossed arms and thought bubbles showing him in various worried poses.

 

5. Do you know how to choose the right care for you or do you have someone you can talk to about choosing the right care? 

four individuals holding up letters that spell out the word HELP

 

6. If you needed more support and care, would you like to stay in your home or move into care home?  

the back of a man in a cap looking at three types of accommodation to choose from

 

7. As you have got older have you changed your mind on what will help you stay healthy and happy? 

Image of a man in a checkered shirt with a big smile on his face

 

8. Do you have someone to speak up for you if you are not able to? 

Older man in a suit shouting through a megaphone. *

 

9.  If you previously answered yes, is this person a Power of Attorney? (if you do not know what this is please tell us)  

 

10. Can you use apps and websites? 

image of two ipads with applications on them, one white, one black

 

11. If you cannot use apps, do you have someone who can help you?  

image of a woman with two thought bubbles above her head

 

12. Is there anything else you’d like to tell us? 

 

About you

It would be helpful to know more about you.

This helps us see if different people get better or worse care. 

You do not have to answer these questions.

13. How old are you?

 

14. What is your gender? 

Gender is whether you like to be known as male, female or something else.

 

15. Is your gender the same as the one you were given when you were born? 

 

16. What is your sexual orientation? 

Sexual orientation means which gender you are attracted to. For example, male, female or both. 

 

17. What is your ethnicity?

Ethnicity is your race or background. For example, Black, White or Asian.

  • Asian or Asian British
  • Black or Black British
  • Mixed or more than one ethnicity
  • White
  • Other
 

18. Are any of these true for you? 

 

19. How much money do you have?

 

20. What area do you live in?

 

Can we contact you? 

21. Using your story

We use the stories people tell us when we talk about our work to the media. The media is newspapers, radio or TV. 

Can we contact you if we want to talk about your story to the media? 

We will not give them your name without asking you first. 

 

22. Getting emails from us

Would you like us to email you with information about what we are doing? 

You can stop getting emails from us at any time.

 

23. If you ticked yes, please write your name and email address below.