East and North Herts Membership survey

1. Please tell us your name *

Please tell us your email address (or if you don't have email, a phone number we can contact you on or your postal address). *

2. If you have any feedback or comments on our membership newsletter please let us know here

3. Getting involved – would you be happy to participate in any of the following, to help us plan and shape our hospitals and services for the future?

On-site assessments – for example on accessibility, how easy it is to find your way around, or hospital food
Surveys – online surveys tell us what you think about things
Webinars – these are online meetings or events, often on a certain topic
Events and open days
Our Annual General Meeting - this takes place each year
Patient groups on any subject- not a particular condition or topic
Patient groups – for example on a particular condition or topic

4. Please le us know if you have any experience or skills that you would like us to know about. You don't need this for most of our projects, but it's helpful to know.

5. Is there a specific hospital, service or area that you are particularly interested in?
If so, please tell us here:

6. Please let us know if you'd like to be kept informed of our work:

I’m happy to receive news about East and North Hertfordshire NHS Trust
I’m happy to receive news about the East and North Hertfordshire Hospitals’ Charity.

7. If you have any other thoughts/suggestions- please let us know here:

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