Healthwatch Westmorland & Furness Feedback Form

Thank you for taking the time to share your feedback of Healthwatch Westmorland & Furness.

The purpose of this short questionnaire is to hear directly from residents in our area, to find out what we are doing well and what we could be doing better. To help us continue to shape and improve the work we do.

We estimate that this survey will take you only a couple of minutes to complete.

All information given, including any contact details, will be held by Healthwatch Westmorland & Furness and will remain secure and confidential and will comply with the Data Protection Act 2018. Your details will only be kept and used for the purpose of this project. Your data will not be passed onto any third parties or used for marketing purposes. For more details look at the privacy policy on our website.

1. How would you describe Healthwatch Westmorland and Furness and the work we do?

2. From your experience of Healthwatch Westmorland and Furness what do you think that we do well?

3. What could we do better?

4. Is there anything else you would like to share about your experience with Healthwatch Westmorland and Furness?

5. (OPTIONAL) Please leave your contact details if you want Healthwatch Westmorland and Furness to remain in touch with you.

First Name:
Last Name:
Email:

6. Tick the statements below to give your consent. We will not be in touch with you unless you have consented to be contacted and have left your contact details.

I give consent to be contacted by a Healthwatch Westmorland and Furness staff member to discuss my experience
I give consent to be added to the Healthwatch Westmorland and Furness mailing list to receive their newsletter and other updates (you can change your mind at any time by clicking unsubscribe)
I give consent to be added to the Healthwatch forum contact list to receive invites to our community forums

Thank you for completing our feedback form!

The Healthwatch Westmorland and Furness team are available to talk between 9am and 5pm, Monday to Friday. We’re here to listen to your views and experiences, and we can help you find the health and care services you are looking for. There are multiple ways you can share your feedback with us. If you have an inquiry, or want to share your general experiences, you can call the office on 300 303 8567 or email us at info@healthwatchwestfurn.co.uk. If you would like to leave feedback about a specific service, such as your GP Practice, care home or hospital the best place to do this is on our independent Feedback Centre at www.healthwatchwestfurn.co.uk/services.

Healthwatch Westmorland & Furness Feedback Form

1. A quick questionnaire

1. How would you describe Healthwatch Westmorland and Furness and the work we do?

2. From your experience of Healthwatch Westmorland and Furness what do you think that we do well?

3. What could we do better?

4. Is there anything else you would like to share about your experience with Healthwatch Westmorland and Furness?

5. (OPTIONAL) Please leave your contact details if you want Healthwatch Westmorland and Furness to remain in touch with you.

6. Tick the statements below to give your consent. We will not be in touch with you unless you have consented to be contacted and have left your contact details.